MRS. STACIE LYNNE EBERSOLD MSN, NP-C
NPI 1750943155
Nurse Practitioner - Family in Philadelphia, PA
About Mrs. Stacie Lynne Ebersold Msn, Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. STACIE LYNNE EBERSOLD MSN, NP-C (NPI 1750943155) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP020581) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Horsham, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Stacie Lynne Ebersold Msn, Np-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.
Medicare Billing Reassignments
5Medicare enrollment records show Stacie Ebersold reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- 113 clinicians in this Medicare group
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Suburban Geriatric's, Inc.
- 114 clinicians in this Medicare group
Plymouth Meeting, PA 19462
- Reassigned Medicare billing, Pennsylvania enrollment
- 113 clinicians in this Medicare group
Christiana, PA 17509
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Pembroke Pines, FL 33027
- Reassigned Medicare billing, Florida enrollment
- 64 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19107
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 Ebersold's NPI number?
The NPI number for Stacie Ebersold is 1750943155. It was assigned to this individual provider in the NPPES registry on July 5, 2019.
Where is Stacie Ebersold located?
Stacie Ebersold practices at 100 S Juniper St Fl 3, Philadelphia, PA 19107. The listed phone number is (866) 849-0692.
What is Stacie Ebersold's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Stacie Ebersold enrolled in Medicare?
Yes. Stacie Ebersold 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.
Which organizations bill Medicare for Stacie Ebersold's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stacie Ebersold reassigns Medicare benefits to 5 organizations: Suburban Geriatrics II PC (Plymouth Meeting, PA), Suburban Geriatrics, Inc. (Plymouth Meeting, PA), Violet Valley Long Term Care PC (Plymouth Meeting, PA), Wellspan Medical Group (Christiana, PA) and Devoted Medical Group Professional Corporation (Pembroke Pines, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacie Ebersold's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stacie Ebersold accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Stacie Ebersold 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.
When was this NPI record last updated?
The NPPES record for Stacie Ebersold was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Stacie Lynne Ebersold, MSN, NP-C · NPI 1750943155
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 5, 2019.
## Identity
- **NPI:** 1750943155 (Entity type: Individual)
- **Enumerated:** July 5, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP020581 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 S JUNIPER ST FL 3, Philadelphia, PA 19107-1316
- **Phone:** (866) 849-0692
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Suburban Geriatrics II PC (NPI 1073273363, Plymouth Meeting, PA); Suburban Geriatrics, Inc. (NPI 1679594808, Plymouth Meeting, PA); Violet Valley Long Term Care PC (NPI 1649164617, Plymouth Meeting, PA); Wellspan Medical Group (NPI 1427509942, Christiana, PA); Devoted Medical Group Professional Corporation (NPI 1245838168, Pembroke Pines, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750943155) · Data from the CMS NPPES public registry.