STACEY ERIN LATTANZE PA-C
NPI 1629116728
Physician Assistant - Medical in Lebanon, PA

Q: What is Stacey Lattanze's NPI number?

The NPI number for Stacey Lattanze is 1629116728. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Q: What is Stacey Lattanze's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Lattanze was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment

1701 CORNWALL ROAD, SUITE 201, LEBANON, PA 17042(717) 675-1780(717) 675-1776 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2025, Jun 18, 2024, Aug 31, 2023 (3 updates tracked since 2023).

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About Stacey Erin Lattanze Pa-c NPPES

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

STACEY ERIN LATTANZE PA-C (NPI 1629116728) is an individual medical provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MA002230-L) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629116728

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameSTACEY ERIN LATTANZECredential: PA-C

Location Address1701 CORNWALL ROAD, SUITE 201Lebanon, PA 17042-7480

Mailing Address1701 Cornwall Rd, Ste 201Lebanon, PA 17042-7480 · (717) 675-1780 · Fax (717) 675-1776

Phone(717) 675-1780

Fax(717) 675-1776

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateFebruary 1, 2007

Last NPPES UpdateFebruary 21, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 21, 2025

✔ NPI 1629116728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA002230-L

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License OA003364 (PA)

1701 CORNWALL ROAD, Lebanon, PA 17042

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Stacey Erin Lattanze 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.

PECOS PAC ID1456571694

PECOS Enrollment IDI20141009002239

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

69 services64 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

24 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

21 services21 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

18 services18 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

18 services18 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

13 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390066

Location252 South 4th StreetLebanon, PA 17042 · Lebanon County

Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390100

Location555 North Duke StreetLancaster, PA 17602 · Lancaster County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

5%82 patients1/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

CHRISTINE MARY SPIKER MD

Family Medicine

1701 CORNWALL ROAD, SUITE 201
LEBANON, PA 17042

Lebanon County (717) 675-1780

KAYLA WEILER PA-C

Physician Assistant

1701 CORNWALL ROAD, SUITE 101
LEBANON, PA 17042

Lebanon County (717) 675-1788

STEPHANIE SCHULTZ GRAMBAU CRNP

Nurse Practitioner (Family)

1701 CORNWALL ROAD, SUITE 201
LEBANON, PA 17042

Lebanon County (717) 675-1780

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 Stacey Lattanze's NPI number?

The NPI number for Stacey Lattanze is 1629116728. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Stacey Lattanze located?

Stacey Lattanze practices at 1701 Cornwall Road Suite 201, Lebanon, PA 17042. The listed phone number is (717) 675-1780.

What is Stacey Lattanze's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Stacey Lattanze enrolled in Medicare?

Yes. Stacey Lattanze 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.

What insurance does Stacey Lattanze accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Stacey Lattanze as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stacey Lattanze affiliated with any hospitals?

According to CMS data, Stacey Lattanze is affiliated with Wellspan Good Samaritan Hospital and Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Stacey Lattanze was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.