STELLA PAK
NPI 1609308675
Student in an Organized Health Care Education/Training Program in Kettering, OH

Active since March 29, 2017PECOS Enrolled
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 384-6800 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stella Pak NPPES

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

STELLA PAK (NPI 1609308675) is an individual student in an organized health care education/training program in Kettering, Ohio and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609308675
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSTELLA PAK
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address1325 Oak Hill Ct Apt 142Toledo, OH 43614-2530
Sole ProprietorYes
Enumeration DateMarch 29, 2017
NPI 1609308675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3535 SOUTHERN BLVD, Kettering, OH 45429

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stella Pak 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.

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.

Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stella Pak's NPI number?

The NPI number for Stella Pak is 1609308675. It was assigned to this individual provider in the NPPES registry on March 29, 2017.

Where is Stella Pak located?

Stella Pak practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 384-6800.

What is Stella Pak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Stella Pak enrolled in Medicare?

Yes. Stella Pak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stella Pak was last updated on March 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.