STEPHANIE PHOENIX PA-C
NPI 1609663715
Physician Assistant - Surgical in New Haven, CT

Active since April 22, 2025PECOS Enrolled
1450 CHAPEL ST, NEW HAVEN, CT 06511(203) 789-3000 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Years of Experience 2
  • Physician Assistant
  • Surgical
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About STEPHANIE PHOENIX

This page provides the complete NPI Profile along with additional information for Stephanie Phoenix, a provider established in New Haven, Connecticut with a medical specialization in Physician Assistant, focusing in surgical and more than 2 years of experience. The healthcare provider is registered in the NPI registry with number 1609663715 assigned on April 2025. The practitioner's primary taxonomy code is 363AS0400X with license number 23.007148 (CT). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1609663715 Verify this NPI
Provider Name
STEPHANIE PHOENIX PA-C
Gender
Female
Entity Type
Individual
Location Address
1450 CHAPEL ST NEW HAVEN, CT 06511
Location Phone
(203) 789-3000
Mailing Address
12 MERWYN RD WALLINGFORD, CT 06492
Mailing Phone
(203) 500-6475
Medical School Name
OTHER
Graduation Year
2025
Is Sole Proprietor?
No
Enumeration Date
04-22-2025
Last Update Date
07-23-2025
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Location Map

Secondary Locations

  • 20 York St
    New Haven, CT 06510
    (203) 688-4242

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
23.007148
License State
CT

Medicare Participation & PECOS Enrollment Status

Stephanie Phoenix is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Stephanie Phoenix is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1254828296

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20251014002853

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for STEPHANIE PHOENIX PA-C

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine
1450 CHAPEL ST, HAELEN CENTER
NEW HAVEN, CT 06511
Pharmacist
1450 CHAPEL ST, PHARMACY DEPT., HOSPITAL OF ST. RAPHAEL
NEW HAVEN, CT 06511
Physician Assistant
1450 CHAPEL ST, ST RAPHAEL'S OCCUPATIONAL HEALTH PLUS
NEW HAVEN, CT 06511
Radiology (Diagnostic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Radiology (Diagnostic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Nuclear Medicine
1450 CHAPEL ST
NEW HAVEN, CT 06511
Nuclear Medicine
1450 CHAPEL ST
NEW HAVEN, CT 06511
Radiology (Diagnostic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Radiology (Vascular & Interventional Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Radiology (Vascular & Interventional Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Internal Medicine (Medical Oncology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Radiology (Diagnostic Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Clinic/Center (Radiology)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Dentist (General Practice)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Nurse Practitioner (Acute Care)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Internal Medicine
1450 CHAPEL ST
NEW HAVEN, CT 06511
Internal Medicine
1450 CHAPEL ST
NEW HAVEN, CT 06511
Physician Assistant
1450 CHAPEL ST, FAMILY HEALTH CENTER PEDIATRIC CLINIC
NEW HAVEN, CT 06511
Nurse Practitioner (Family)
1450 CHAPEL ST
NEW HAVEN, CT 06511
Oral & Maxillofacial Surgery
1450 CHAPEL ST, MOB-2
NEW HAVEN, CT 06511

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609663715, enumerated as an "individual" on April 22, 2025.

The provider is located at 1450 CHAPEL ST NEW HAVEN, CT 06511 and the phone number is (203) 789-3000.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.