KATHLEEN STEFFEN – Medical Physician Assistant, NPI 1699128090

Medical Physician Assistant

KATHLEEN STEFFEN is a healthcare provider. based in Alpharetta, Georgia. specializing in PHYSICIAN ASSISTANT. They hold a License No. 7983 (GA). The NPI Number for KATHLEEN STEFFEN is 1699128090

Main info

Female

Sole Proprietor

10 Years Of Experience

Accepts Medicare Assignment

Name

KATHLEEN STEFFEN

NPI

1699128090

Phone

(770) 751-9131

Address

3400 OLD MILTON PKWY # C

Enumeration Date

20 July 2016

Last Update Date

24 February 2023

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

2016 (10 years ago)

PAC ID

2264728252

Group Practice PAC ID

2668467002

Professional Enrollment ID

I20160830002322

Address ID

GA300224456AL3905XPKWY301

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience47

Completeness75

Years active:9State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

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Provider Addresses for KATHLEEN STEFFEN

3400, Old Milton Parkway, Country Place, Preston Ridge, Alpharetta, Fulton County, Georgia, 30005, United States
SUITE 395
ALPHARETTA, GA 300053707
Phone: (770) 751-9131
Fax: (770) 751-9132
Type: Mailing
Old Milton Parkway, Alpharetta, Fulton County, Georgia, 30005, United States
SUITE 395
ALPHARETTA, GA 300057707
Phone: (770) 751-9131
Fax: (770) 751-9132
Type: Location
3905 BROOKSIDE PKWY STE 202
ALPHARETTA, GA 300224425
Phone: (770) 751-9131
Fax: (770) 751-9132
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-08-30

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20160830002322	I	Physician Assistant	GA	TBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99214	Established patient office or other outpatient visit, 30-39 minutes	19	17	$0

View full utilization report →

Insurance plans in this area (ZIP 30005)

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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: 2668467002View full group profile