Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Keith Stacy Elsner, PA-C

Individual provider Physician Assistant · NPI 1649514811

Keith Stacy Elsner, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Clinical Specialty Associates, a 156-clinician group and accepts Medicare assignment. Licensed in Delaware and Pennsylvania.

Years since qualifying
14
Licensed in
DE, PA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

230 W Washington Sq Ste 102
Philadelphia, PA 19106-3500
Phone: (215) 829-3985
Fax: (215) 829-3340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA055901 (PA)
Physician Assistant Taxonomy 363A00000X · Licence C5-0000851 (DE)

Record details

NPI number1649514811
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 12, 2012
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Clinical Specialty Associates — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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