MS. STEPHANIE AGONCILLO PA-C
NPI 1427425172
Physician Assistant in Santa Cruz, CA

Q: What is Stephanie Agoncillo's NPI number?

The NPI number for Stephanie Agoncillo is 1427425172. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Q: What is Stephanie Agoncillo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since August 28, 2015PECOS EnrolledAccepts Medicare Assignment

2911 CHANTICLEER AVE, SANTA CRUZ, CA 95065(831) 477-2350 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Stephanie Agoncillo Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STEPHANIE AGONCILLO PA-C (NPI 1427425172) is an individual physician assistant in Santa Cruz, California, licensed in California (53464) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hillsborough, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1427425172

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. STEPHANIE AGONCILLOCredential: PA-C

Location Address2911 CHANTICLEER AVESanta Cruz, CA 95065-1815

Mailing Address2911 Chanticleer AveSanta Cruz, CA 95065-1815 · (831) 477-2350

Phone(831) 477-2350

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 28, 2015

Last NPPES UpdateNovember 19, 2019

✔ NPI 1427425172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 53464

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2911 CHANTICLEER AVE, Santa Cruz, CA 95065

Open in Google Maps ↗

Secondary Practice Location 1

Location 1460 Waterstone DrHillsborough, NC 27278-9078 · Phone (919) 595-5900

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Stephanie Agoncillo Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436453438

PECOS Enrollment IDI20160923001198

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$77.84 typical visit price

range $21.02 – $153.16

Typical copayment $19.46 (range $5.25 – $38.29)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE KERLEY

Plastic Surgery