EMMA ROSE STUPP (PA-C) – Physician Assistant, NPI 1437875747

EMMA ROSE STUPP (PA-C) is a healthcare provider. based in Myerstown, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for EMMA ROSE STUPP (PA-C) is 1437875747

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
EMMA ROSE STUPP (PA-C)
NPI
1437875747
Phone
(717) 639-6092
Address
414 FRYSTOWN RD
Enumeration Date
18 October 2022
Last Update Date
18 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6102266200
Graduation Year
2022 (4 years ago)
PAC ID
8123496379
Group Practice PAC ID
2668716069
Professional Enrollment ID
I20221121000733
Address ID
PA194681824LI33XXXPIKE401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience21
Completeness75
Years active:3State licenses:0Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for EMMA ROSE STUPP (PA-C)

  • 414 FRYSTOWN RD

    MYERSTOWN, PA 170671923

    Phone: (717) 639-6092

    Type: Mailing

  • 33 W RIDGE PIKE STE 627

    ROYERSFORD, PA 194681824

    Phone: (610) 226-6200

    Type: Location

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: 2022-11-21

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
I20221121000733IPhysician AssistantPATBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes8685$0
99214Established patient office or other outpatient visit, 30-39 minutes6060$0
99203New patient office or other outpatient visit, 30-44 minutes3838$0
81003Automated urinalysis test3030$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen2323$0
View full utilization report →

Insurance plans in this area (ZIP 17067)

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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: 2668716069View full group profile

Reviews

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Frequently asked questions

Is EMMA ROSE STUPP (PA-C) listed with a National Provider Identifier?
Yes — EMMA ROSE STUPP (PA-C) has NPI 1437875747 on file in the registry.
Is EMMA ROSE STUPP (PA-C) still an active registrant?
EMMA ROSE STUPP (PA-C) carries an active NPI according to the public dataset.
What kind of doctor is EMMA ROSE STUPP (PA-C)?
EMMA ROSE STUPP (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for EMMA ROSE STUPP (PA-C)?
Travel planning: use Myerstown, Pennsylvania as the reference point for EMMA ROSE STUPP (PA-C), then confirm.
When was this NPI issued?
Enumeration for EMMA ROSE STUPP (PA-C) is noted as October 18, 2022 where the registry provides it.

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