STEPHANIE LYNN KOONCE (PA-C) – Medical Physician Assistant, NPI 1609035807

STEPHANIE LYNN KOONCE (PA-C) is a healthcare provider. based in Knoxville, Tennessee. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 6080 (TN). The NPI Number for STEPHANIE LYNN KOONCE (PA-C) is 1609035807

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE LYNN KOONCE (PA-C)
NPI
1609035807
Phone
(865) 934-5800
Address
1415 OLD WEISGARBER RD STE 200
Enumeration Date
3 June 2008
Last Update Date
13 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085521234
Graduation Year
2006 (20 years ago)
PAC ID
1951594738
Group Practice PAC ID
4486562774
Professional Enrollment ID
I20180202002463
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

3,118 PHYSICIAN ASSISTANT in TN

Provider Addresses for STEPHANIE LYNN KOONCE (PA-C)

  • 1415 OLD WEISGARBER RD STE 200

    KNOXVILLE, TN 379091341

    Phone: (865) 934-5800

    Fax: (865) 934-5801

    Type: Location

  • 1262, West 5th Street, Sheridan, Sheridan County, Wyoming, 82801, United States

    SHERIDAN, WY 828012702

    Phone: (307) 674-6166

    Fax: (307) 672-8687

    Type: Mailing

  • 900 E HILL AVE STE 230

    KNOXVILLE, TN 379152565

    Phone: (865) 862-0998

    Fax: (865) 544-1861

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 56 Open Payments records for all available years, with a total value of $991.

Total Amount is formed as General ($991) + Research ($0) + Ownership ($0) = $991.

Last reported payment date: 2024-09-12 • Largest payer in this snapshot: PFIZER INC. ($155).

Total Amount

$991

General + Research + Ownership

Payments

56

Total payment records

General Amount

$991

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180202002463IPhysician AssistantIDTBD
I20250310001152IPhysician AssistantTNTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes258104$0
99214Established patient office or other outpatient visit, 30-39 minutes217139$0
99213Established patient office or other outpatient visit, 20-29 minutes183130$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 37909)

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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: 4486562774View full group profile
NameSpecialtyState
-ID
Certified Registered Nurse Anesthetist (Crna)ID
Osteopathic Manipulative MedicineWY
Physical Medicine And RehabilitationID
Nurse PractitionerTX
Nurse PractitionerID
Qualified AudiologistID
Certified Registered Nurse Anesthetist (Crna)TX
Cardiovascular Disease (Cardiology), Internal MedicineID
Nurse PractitionerID

Reviews

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Frequently asked questions

What is STEPHANIE LYNN KOONCE (PA-C)'s NPI number?
STEPHANIE LYNN KOONCE (PA-C)'s NPI is 1609035807 — the number used across U.S. healthcare to identify this provider.
Is there an active status for STEPHANIE LYNN KOONCE (PA-C)?
For scheduling context, STEPHANIE LYNN KOONCE (PA-C) is shown as active in the registry.
What kind of doctor is STEPHANIE LYNN KOONCE (PA-C)?
STEPHANIE LYNN KOONCE (PA-C) is associated with Medical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is STEPHANIE LYNN KOONCE (PA-C) associated with Knoxville?
Public fields place STEPHANIE LYNN KOONCE (PA-C) around Knoxville, Tennessee. Always confirm the exact site before visiting.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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