JOHN LOUIS STEGELMEIER (PA-C) – Physician Assistant, NPI 1720718281

JOHN LOUIS STEGELMEIER (PA-C) is a healthcare provider. based in Preston, Idaho. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. P10050 (ID). The NPI Number for JOHN LOUIS STEGELMEIER (PA-C) is 1720718281

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
JOHN LOUIS STEGELMEIER (PA-C)
NPI
1720718281
Phone
(208) 852-1563
Address
39 N 1st E
Enumeration Date
15 June 2022
Last Update Date
16 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4803018000
Graduation Year
2024 (2 years ago)
PAC ID
4486187127
Group Practice PAC ID
7012829930
Professional Enrollment ID
I20241101002298
Address ID
AZ852595404SC13400BLVD400
Telehealth
Yes

Contacts

Secure Messaging
jstegelmeier1997877@ehrdirect.mayoclinicmsg.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:3State licenses:2Other namesUpdated within 12 months

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for JOHN LOUIS STEGELMEIER (PA-C)

  • 39 N 1st E

    Preston, ID 832631325

    Phone: (208) 852-1563

    Type: Location

  • 921 S 8th Ave Stop 8253

    Pocatello, ID 832090002

    Phone: (208) 282-4726

    Type: Location

  • 921 S 8TH AVE STOP 8253

    POCATELLO, ID 832090002

    Phone: (208) 282-4726

    Type: Mailing

  • 13400 E SHEA BLVD

    SCOTTSDALE, AZ 852595499

    Phone: (480) 301-8000

    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: 2024-11-01

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
I20241101002298IPhysician AssistantAZTBD

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 83263)

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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: 7012829930View full group profile

Reviews

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Frequently asked questions

How do payers reference JOHN LOUIS STEGELMEIER (PA-C)?
For JOHN LOUIS STEGELMEIER (PA-C), use NPI 1720718281 as the unique 10-digit identifier.
Is there an active status for JOHN LOUIS STEGELMEIER (PA-C)?
For scheduling context, JOHN LOUIS STEGELMEIER (PA-C) is shown as active in the registry.
What area of care is associated with JOHN LOUIS STEGELMEIER (PA-C)?
JOHN LOUIS STEGELMEIER (PA-C)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
Is JOHN LOUIS STEGELMEIER (PA-C) associated with Preston?
Public fields place JOHN LOUIS STEGELMEIER (PA-C) around Preston, Idaho. Always confirm the exact site before visiting.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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