MS. STEPHANIE NICOLE LIVERMORE-HALE PA-C
NPI 1710288741
Physician Assistant in Syracuse, NY

Active since November 08, 2010PECOS EnrolledAccepts Medicare Assignment
4900 BROAD RD, SYRACUSE, NY 13215(315) 492-5011(315) 492-5320 Get Directions Write a Review

NPPES record last updated: January 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2023, Apr 4, 2019 (2 updates tracked since 2019).

About Ms. Stephanie Nicole Livermore-hale Pa-c NPPES

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

MS. STEPHANIE NICOLE LIVERMORE-HALE PA-C (NPI 1710288741) is an individual physician assistant in Syracuse, New York, licensed in New York (014286) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and maintains a secondary practice location in Syracuse.

NPPES Registry Identity

NPI1710288741
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. STEPHANIE NICOLE LIVERMORE-HALECredential: PA-C
Location Address4900 BROAD RDSyracuse, NY 13215
Mailing Address8493 Pools Brook RdKirkville, NY 13082-9503 · (315) 271-4325
Fax(315) 492-5320
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateNovember 8, 2010
Last NPPES UpdateJanuary 6, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2023
NPI 1710288741 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 NY · 014286
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.
4900 BROAD RD, Syracuse, NY 13215

Other Names 1

Former Name (1)Stephanie Nicole Livermore Pa-c

Secondary Practice Location 1

Location 1750 E Adams StSyracuse, NY 13210-2342 · Phone (315) 464-5540

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

Ms. Stephanie Nicole Livermore-hale 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 ID1658540026
PECOS Enrollment IDI20120404000691
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 2

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
98 services48 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.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13215 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$61.36 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$33.55 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 20

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

Occupational Therapist
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Nurse Practitioner (Family)
4900 BROAD RD, SUITE 4K
SYRACUSE, NY 13215
Nurse Anesthetist, Certified Registered
4900 BROAD RD
SYRACUSE, NY 13215
Psychiatry & Neurology (Neurology)
4900 BROAD RD, CGH POB SUITE 2F
SYRACUSE, NY 13215
Physician Assistant
4900 BROAD RD
SYRACUSE, NY 13215

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 Livermore-hale's NPI number?

The NPI number for Stephanie Livermore-hale is 1710288741. It was assigned to this individual provider in the NPPES registry on November 8, 2010. The provider is also known as Stephanie Nicole Livermore Pa-C.

Where is Stephanie Livermore-hale located?

Stephanie Livermore-hale practices at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5011.

What is Stephanie Livermore-hale's specialty?

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

Is Stephanie Livermore-hale enrolled in Medicare?

Yes. Stephanie Livermore-hale 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.

Is Stephanie Livermore-hale affiliated with any hospitals?

According to CMS data, Stephanie Livermore-hale is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Stephanie Livermore-hale was last updated on January 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.