STEPHANIE PHOENIX PA-C
NPI 1609663715
Physician Assistant - Surgical in New Haven, CT
About Stephanie Phoenix Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
STEPHANIE PHOENIX PA-C (NPI 1609663715) is an individual surgical provider in New Haven, Connecticut, licensed in Connecticut (23.007148) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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 Phoenix 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.
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.
NEW HAVEN, CT 06511
NEW HAVEN, CT 06511
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 Stephanie Phoenix's NPI number?
The NPI number for Stephanie Phoenix is 1609663715. It was assigned to this individual provider in the NPPES registry on April 22, 2025.
Where is Stephanie Phoenix located?
Stephanie Phoenix practices at 1450 Chapel St, New Haven, CT 06511. The listed phone number is (203) 789-3000.
What is Stephanie Phoenix's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Stephanie Phoenix enrolled in Medicare?
Yes. Stephanie Phoenix is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Stephanie Phoenix was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Stephanie Phoenix, PA-C · NPI 1609663715
Surgical physician in New Haven, Connecticut. Individual provider, active in the CMS NPPES registry since April 22, 2025.
## Identity
- **NPI:** 1609663715 (Entity type: Individual)
- **Enumerated:** April 22, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 23.007148 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 1450 CHAPEL ST, New Haven, CT 06511-4405
- **Phone:** (203) 789-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1609663715) · Data from the CMS NPPES public registry.