Provider Demographics
NPI:1780626507
Name:STEPINSKY, JANEEN MARIE (PA-C)
Entity type:Individual
Prefix:MRS
First Name:JANEEN
Middle Name:MARIE
Last Name:STEPINSKY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JANEEN
Other - Middle Name:M
Other - Last Name:QUATMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5757 DOW AVE APT 308
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22304-5105
Mailing Address - Country:US
Mailing Address - Phone:717-571-8117
Mailing Address - Fax:
Practice Address - Street 1:530 SOUTH ST
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2775
Practice Address - Country:US
Practice Address - Phone:724-261-5556
Practice Address - Fax:724-837-8984
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN506733L163W00000X
FLPA9107949363A00000X
PAMA050996363AS0400X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No163W00000XNursing Service ProvidersRegistered Nurse
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012335000Medicaid
FL012335000Medicaid
FLHW589ZMedicare PIN
PAP96334Medicare UPIN