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STACI KEPHART PA
NPI 1619225828
Physician Assistant in Coalport, PA

Active since August 20, 2012PECOS Enrolled
850 MAIN STREET, COALPORT, PA 16627(814) 672-5141(814) 672-5461 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 3, 2025, Sep 1, 2016, Mar 1, 2016 (3 updates tracked since 2016).

About Staci Kephart Pa NPPES

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

STACI KEPHART PA (NPI 1619225828) is an individual physician assistant in Coalport, Pennsylvania, licensed in Pennsylvania (MA055616) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619225828
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACI KEPHARTCredential: PA
Location Address850 MAIN STREETCoalport, PA 16627
Mailing Address850 Main Street, Po Box 375Coalport, PA 16627 · (814) 672-5141 · Fax (814) 672-5461
Phone(814) 672-5141
Fax(814) 672-5461
Sole ProprietorNo
Enumeration DateAugust 20, 2012
Last NPPES UpdateNovember 3, 20253 updates tracked since enumeration
NPPES CertifiedNovember 3, 2025
✔ NPI 1619225828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA055616
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.
850 MAIN STREET, Coalport, PA 16627
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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)

Staci Kephart Pa 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 16627 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers15 claims24 services$4.37 avg. paid by Medicare
Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$43.44 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers12 claims12 services$9.06 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 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY ELIZABETH GABRIEL D.P.T.
Physical Therapist
850 MAIN STREET, SUITE 4
COALPORT, PA 16627
Clearfield County (814) 672-5700
GLENDALE AREA MEDICAL ASSOCIATION, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
850 MAIN STREET
COALPORT, PA 16627
Clearfield County (814) 672-5141
MS. DEBORAH JO SAVINO DH
Dental Hygienist
850 MAIN STREET
COALPORT, PA 16627
Clearfield County (814) 672-5480
GLENDALE REHABILITATION INC.
Clinic/Center (Physical Therapy)
850 MAIN STREET, SUITE 4
COALPORT, PA 16627
Clearfield County (814) 672-5700
DR. ALLICIA R SHINGLEDECKER DPT
Physical Therapist
850 MAIN STREET
COALPORT, PA 16627
Clearfield County (814) 672-5700
KINETICS COUNSELING
Community/Behavioral Health
850 MAIN STREET
COALPORT, PA 16627
Clearfield County (814) 687-4081
JACY LENAI WALKER
Physical Therapist
850 MAIN STREET, SUITE 4
COALPORT, PA 16627
Clearfield County (814) 672-5700
LINDSEY ELIZABETH LINK PA-C
Physician Assistant (Medical)
850 MAIN STREET
COALPORT, PA 16627
Clearfield County (814) 672-5141

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 Staci Kephart's NPI number?

The NPI number for Staci Kephart is 1619225828. It was assigned to this individual provider in the NPPES registry on August 20, 2012.

Where is Staci Kephart located?

Staci Kephart practices at 850 Main Street, Coalport, PA 16627. The listed phone number is (814) 672-5141.

What is Staci Kephart's specialty?

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

Is Staci Kephart enrolled in Medicare?

Yes. Staci Kephart is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Staci Kephart was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.