STEPHANIE HSIEH – Physician Assistant, NPI 1720868045

STEPHANIE HSIEH is a healthcare provider. based in San rafael, California. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA63007 (CA). The NPI Number for STEPHANIE HSIEH is 1720868045

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE HSIEH
NPI
1720868045
Phone
(415) 454-9444
Address
1601 2nd St Ste 108
Enumeration Date
3 October 2023
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6194293733
Graduation Year
2023 (3 years ago)
PAC ID
9537600788
Group Practice PAC ID
6709867880
Professional Enrollment ID
I20240916002350
Address ID
CA919321503IM949XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:2State licenses:2Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for STEPHANIE HSIEH

  • 1601 2nd St Ste 108

    San Rafael, CA 949012701

    Phone: (415) 454-9444

    Type: Location

  • 1016 Outer Rd

    San Diego, CA 921541351

    Phone: (619) 429-3733

    Type: Location

  • PO BOX 1196

    GUALALA, CA 954451196

    Phone:

    Type: Mailing

  • 38001 OLD STAGE RD

    GUALALA, CA 954458543

    Phone: (707) 412-3176

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $851.

Total Amount is formed as General ($851) + Research ($0) + Ownership ($0) = $851.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($220).

Total Amount

$851

General + Research + Ownership

Payments

9

Total payment records

General Amount

$851

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240916002350IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 94901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709867880View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm STEPHANIE HSIEH's NPI?
Yes. STEPHANIE HSIEH is listed with NPI 1720868045 in the public NPI dataset.
Does the file indicate STEPHANIE HSIEH is practicing under active NPI?
Directory data currently reports STEPHANIE HSIEH as active.
What healthcare role does STEPHANIE HSIEH hold?
Scheduling teams often label STEPHANIE HSIEH under Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does STEPHANIE HSIEH serve?
STEPHANIE HSIEH's listing highlights San Rafael, California; more addresses can appear in NPPES.
Why does STEPHANIE HSIEH have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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