STEPHANIE PRITZKOW
NPI 1821873431
Physician Assistant in San Rafael, CA

Q: What is Stephanie Pritzkow's NPI number?

The NPI number for Stephanie Pritzkow is 1821873431. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Q: What is Stephanie Pritzkow's specialty?

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

Active since August 30, 2023PECOS Enrolled

4000 CIVIC CENTER DR STE 209, SAN RAFAEL, CA 94903(415) 925-8963 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2025, Aug 30, 2023 (2 updates tracked since 2023).

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About Stephanie Pritzkow NPPES

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

STEPHANIE PRITZKOW (NPI 1821873431) is an individual physician assistant in San Rafael, California, licensed in California (PA65693) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1821873431

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSTEPHANIE PRITZKOW

Location Address4000 CIVIC CENTER DR STE 209San Rafael, CA 94903-5233

Mailing Address4000 Civic Center Dr Ste 209San Rafael, CA 94903-5233

Phone(415) 925-8963

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 30, 2023

Last NPPES UpdateJune 12, 20252 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1821873431 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 CA · PA65693

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.

4000 CIVIC CENTER DR STE 209, San Rafael, CA 94903

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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)

Stephanie Pritzkow is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850810748

PECOS Enrollment IDI20250523000417

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 94903 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

$104.67 typical visit price

range $69.07 – $202.63

Typical copayment $26.16 (range $17.26 – $50.65)

Most-billed visit code 99203

Established Patient

$85.00 typical visit price

range $23.44 – $166.64

Typical copayment $21.25 (range $5.86 – $41.66)

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.

Other Providers at the Same Location NPPES 9

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

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