STACY WARREN PA-C
NPI 1558651240
Physician Assistant in Philadelphia, PA

Q: What is Stacy Warren's NPI number?

The NPI number for Stacy Warren is 1558651240. It was assigned to this individual provider in the NPPES registry on April 14, 2011.

Q: What is Stacy Warren's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Warren was last updated on August 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 14, 2011PECOS Enrolled

3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-2000 Get Directions Write a Review

NPPES record last updated: August 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 29, 2018, Nov 2, 2016 (2 updates tracked since 2016).

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About Stacy Warren Pa-c NPPES

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

STACY WARREN PA-C (NPI 1558651240) is an individual physician assistant in Philadelphia, Pennsylvania, licensed in New Jersey (25MP00253300) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558651240

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSTACY WARRENCredential: PA-C

Location Address3401 N BROAD STPhiladelphia, PA 19140-5103

Mailing Address4 Burton Ln, Ste 100Mullica Hill, NJ 08062-9441 · (856) 241-3838 · Fax (856) 241-3849

Phone(215) 707-2000

Sole ProprietorNo

Enumeration DateApril 14, 2011

Last NPPES UpdateAugust 29, 20182 updates tracked since enumeration

✔ NPI 1558651240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NJ · 25MP00253300✔ Licensed in PA · MA054764

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.

3401 N BROAD ST, Philadelphia, PA 19140

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Warren Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

2 suppliers14 claims14 services$215.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. JAMIE L. GARFIELD MD

Internal Medicine