Look up the most recent NPI and PECOS records

Stephanie Knox

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1600 Eureka Rd, Roseville, CA 95661-3027

PECOS Enrollment

Based on the most recent information from CMS, provider Stephanie Knox is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1811260029
Provider Type
Individual
Full Name
Knox, Stephanie
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
2/18/2012
Last Updated
1/11/2022

Contact Information

Practice Location

1600 Eureka Rd, Roseville, CA 95661-3027

(916) 784-4000

Unlisted Fax

Mailing Location

429 Ebi Way, Folsom, CA 95630-9542

(408) 821-3634

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA22103 California

Stephanie Knox

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Peterson, Bart J

Moede, Julie Catheryn

Vennik, Anthony T

Novick, Jacob Adam

Vassallo, Nancy Jo

Bradley, Boden

Katches, Talitha

Miranda, Lisa M

Miranda, Melissa

Compton, Audrey K