Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MR. EDWARD THOMAS STISH JR.
NPI 1841119047
Nurse Practitioner - Family in Hazleton, PA

Q: What is Edward Stish's NPI number?

The NPI number for Edward Stish is 1841119047. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Q: What is Edward Stish's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Stish was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 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.

Active since July 13, 2026PECOS Enrolled

1711 E BROAD ST, HAZLETON, PA 18201(570) 453-5100 Get Directions Write a Review

NPPES record added: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mr. Edward Thomas Stish Jr. NPPES

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

MR. EDWARD THOMAS STISH JR. (NPI 1841119047) is an individual family provider in Hazleton, Pennsylvania, licensed in Pennsylvania (SP036414) and active in the NPI registry since July 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841119047

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. EDWARD THOMAS STISH JR.

Location Address1711 E BROAD STHazleton, PA 18201-5691

Mailing Address40 Conyngham Drums RdSugarloaf, PA 18249-3112

Phone(570) 453-5100

Sole ProprietorNo

Enumeration DateJuly 13, 2026

NPPES CertifiedJuly 13, 2026

✔ NPI 1841119047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP036414

1711 E BROAD ST, Hazleton, PA 18201

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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)

Mr. Edward Thomas Stish Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 18201 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

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 11

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

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