STEPHANIE GABRIELLE VON PAHLEN-FEDOROFF PAC
NPI 1497798573
Physician Assistant - Surgical in Phoenix, AZ

Q: What is Stephanie Von Pahlen-fedoroff's NPI number?

The NPI number for Stephanie Von Pahlen-fedoroff is 1497798573. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Stephanie Von Pahlen-fedoroff's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment

500 W THOMAS RD STE 400, PHOENIX, AZ 85013(602) 406-3874(602) 406-2335 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2024, Jul 23, 2024, Jul 15, 2019 (3 updates tracked since 2019).

On this page

About Stephanie Gabrielle Von Pahlen-fedoroff Pac NPPES

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

STEPHANIE GABRIELLE VON PAHLEN-FEDOROFF PAC (NPI 1497798573) is an individual surgical provider in Phoenix, Arizona, licensed in Arizona (4619) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1497798573

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameSTEPHANIE GABRIELLE VON PAHLEN-FEDOROFFCredential: PAC

Location Address500 W THOMAS RD STE 400Phoenix, AZ 85013-4238

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(602) 406-3874

Fax(602) 406-2335

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateJune 14, 2006

Last NPPES UpdateDecember 6, 20243 updates tracked since enumeration

NPPES CertifiedDecember 6, 2024

✔ NPI 1497798573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in AZ · 4619

Also ListedPhysician AssistantTaxonomy 363A00000X · License 4619 (AZ)

500 W THOMAS RD STE 400, Phoenix, AZ 85013

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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

Stephanie Gabrielle Von Pahlen-fedoroff Pac 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 ID6709889769

PECOS Enrollment IDI20100615000853

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services18 patients

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.

DR. RONALD ANTHONY GAGLIANO JR. M.D.

Colon & Rectal Surgery