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

Individual provider Physician Assistant · NPI 1417984675

Mrs. Stephanie Kwasniewski, PA-C is a Physician Assistant in Richmond, Virginia. Graduated from Drexel University College of Medicine in 2003, 23 years ago. Practices with Centra Medical Group LLC, a 717-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and Virginia.

Years since qualifying
23
Trained at
Drexel University College of Medicine
Licensed in
NC, VA
In the registry since
2006
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

8040 W Broad St
Richmond, VA 23294-4218
Phone: (804) 346-0927
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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 0110001816 (VA)
Physician Assistant Taxonomy 363A00000X · Licence 103991 (NC)

Record details

NPI number1417984675
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDREXEL UNIVERSITY COLLEGE OF MEDICINE
Graduated 2003 (23 years in practice)
Group practice Centra Medical Group Llc — 717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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