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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STACIE CARRILLO PAC
NPI 1730731068
Physician Assistant - Medical in Hanover, PA

Active since July 16, 2019PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
100 EISENHOWER DR, HANOVER, PA 17331(717) 646-4201(717) 646-4202 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2022, Oct 15, 2019, Jul 16, 2019 (3 updates tracked since 2019).

About Stacie Carrillo Pac NPPES

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

STACIE CARRILLO PAC (NPI 1730731068) is an individual medical provider in Hanover, Pennsylvania, licensed in Pennsylvania (MA060995) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 12 additional practice locations.

NPPES Registry Identity

NPI1730731068
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSTACIE CARRILLOCredential: PAC
Location Address100 EISENHOWER DRHanover, PA 17331-5241
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Phone(717) 646-4201
Fax(717) 646-4202
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 16, 2019
Last NPPES UpdateJune 12, 20263 updates tracked since enumeration
NPPES CertifiedJune 12, 2026
✔ NPI 1730731068 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 · MA060995
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA060995 (PA)
100 EISENHOWER DR, Hanover, PA 17331
Open in Google Maps ↗

Secondary Practice Locations 12

Location 19 Nathan LnAnnville, PA 17003-6500 · Phone (717) 639-3350 · Fax (717) 303-3546
Location 2455 S Washington St Ste 12Gettysburg, PA 17325-2516 · Phone (717) 339-2875 · Fax (717) 334-3921
Location 34050 N George Street ExtManchester, PA 17345-9347 · Phone (717) 356-4370 · Fax (717) 260-3316
Location 4101 W Airport RdLititz, PA 17543-9274 · Phone (717) 466-2445 · Fax (717) 466-2447
Location 524 Antrim Commons DrGreencastle, PA 17225-1623 · Phone (717) 593-0512 · Fax (717) 839-6810
Location 6446 N Reading RdEphrata, PA 17522-9802 · Phone (717) 738-5275 · Fax (717) 738-5278
Location 71000 Norland AveChambersburg, PA 17201-4229 · Phone (717) 267-6363 · Fax (717) 839-6421
Location 896 Sofia Dr Ste 208Shrewsbury, PA 17361-5201 · Phone (717) 812-2400 · Fax (717) 812-3005
Location 946 Walnut Bottom Rd Ste 100Shippensburg, PA 17257-8219 · Phone (717) 477-2764 · Fax (717) 839-6951
Location 10717 Town Center DrYork, PA 17408-4824 · Phone (717) 356-4240 · Fax (717) 356-4241
Location 112149 S Queen StYork, PA 17403-4845 · Phone (717) 356-4460 · Fax (717) 260-3326
Location 12601 E Main StWaynesboro, PA 17268-2332 · Phone (717) 765-5088 · Fax (717) 857-2515

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

Stacie Carrillo Pac 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 ID5991138372
PECOS Enrollment IDI20191126002236
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 8

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 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.
117 services115 patients
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.
65 services64 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
25 services25 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.
24 services23 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.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams 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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

KELLY A DEAH CRNP
Nurse Practitioner (Family)
100 EISENHOWER DR
HANOVER, PA 17331
York County (717) 646-4201
NICOLE HURDA CRNP
Nurse Practitioner (Family)
100 EISENHOWER DR
HANOVER, PA 17331
York County (717) 646-3201
VALERIE BENNETT CRNP
Nurse Practitioner (Family)
100 EISENHOWER DR
HANOVER, PA 17331
York County (717) 646-4201
KATHRYN AFFLEBACH CRNP
Nurse Practitioner (Family)
100 EISENHOWER DR
HANOVER, PA 17331
York County (717) 646-4201

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 Stacie Carrillo's NPI number?

The NPI number for Stacie Carrillo is 1730731068. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Stacie Carrillo located?

Stacie Carrillo practices at 100 Eisenhower Dr, Hanover, PA 17331. The listed phone number is (717) 646-4201.

What is Stacie Carrillo's specialty?

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

Is Stacie Carrillo enrolled in Medicare?

Yes. Stacie Carrillo 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 Stacie Carrillo affiliated with any hospitals?

According to CMS data, Stacie Carrillo is affiliated with Wellspan York Hospital, St Luke's Hospital Bethlehem and Gettysburg Hospital.

When was this NPI record last updated?

The NPPES record for Stacie Carrillo was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.