CMS-1500 Box 24J / 33a • NPI
1891101036
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363AM0700X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical
Box 32 Service Location & ZIP+4
557 PROSPECT AVE STE 102, WEST HARTFORD, CT, 06105-2965
✓ 9-Digit EDI 837 ZIP+4 (06105-2965)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1891101036 (STEPHANIE EDWARDS, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1891101036)
Medicare Beneficiaries
38
Total Billed Services
44
Distinct CPT/HCPCS Codes
13
Medicare Allowed Total
$4,023.75
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1891101036 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | STEPHANIE EDWARDS, PA-C |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical NUCC Code: 363AM0700X (Physician Assistant, Medical) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 557 PROSPECT AVE STE 102, WEST HARTFORD, CT, 06105-2965 |
| Practice Telephone / Fax | Tel: (860) 606-4090 | Fax: (888) 268-2187 |
| Administrative Mailing Address | 1060 MAPLETON AVE, SUFFIELD, CT, 06078-1333 |
| Enumeration & Last Sync | Enumerated: 2014-07-09 | CMS Record Updated: 2026-04-13 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
🗺️ Open in Google Maps 🏥 More Providers in WEST HARTFORD
🔒 Are you STEPHANIE EDWARDS, PA-C? Get your Verified NPI Clinic Badge or request personal phone/address redaction →
Plain-English Taxonomy & CMS Crosswalk (363AM0700X)
What Does Taxonomy Code 363AM0700X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363AM0700X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (STEPHANIE EDWARDS, PA-C)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363AM0700X — Physician Assistant, MedicalPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant, Medical | State: CT | License: 23.00314 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.