Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Stacie Lynne Ebersold, MSN, NP-C

Individual provider Family Nurse Practitioner · NPI 1750943155

Mrs. Stacie Lynne Ebersold, MSN, NP-C is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Suburban Geriatric's, Inc, a 100-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Pennsylvania and Tennessee.

Years since qualifying
7
Licensed in
FL, PA, TN
In the registry since
2019
Specialties on file
3
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

100 S Juniper St Fl 3
Philadelphia, PA 19107-1316
Phone: (866) 849-0692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 680 Blair Mill Rd, Horsham, PA 19044-2223 — (717) 577-9592

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP020581 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11041685 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 41288 (TN)

Record details

NPI number1750943155
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , NP-C
Sole proprietorNo
NPI enumeratedJuly 5, 2019
Last updated in NPPESMay 11, 2026
Certification dateMay 11, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Suburban Geriatric'S, Inc. — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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