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

Mrs. Stephanie C Mireles

Individual provider Physician Assistant · NPI 1083338883

Mrs. Stephanie C Mireles is a Physician Assistant in Burlington, Massachusetts. Qualified in 2023, 3 years ago. Practices with Lahey Clinic Inc, a 1,372-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2022
Specialties on file
4
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Practice location Address checks out

41 Mall Rd
Burlington, MA 01805-0001
Phone: (781) 744-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 336 Huntington Ave, Boston, MA 02115 — (617) 373-3195

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA100047 (MA)
Physician Assistant Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1083338883
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESNovember 3, 2023
Certification dateNovember 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lahey Clinic Inc — 1372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Burlington