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

MS. Stacy Brittany Beaupre, PA

Individual provider Physician Assistant · NPI 1528388709

MS. Stacy Brittany Beaupre, PA is a Physician Assistant in Enfield, Connecticut. Qualified in 2009, 17 years ago. Practices with Midstate Radiology Associates LLC, a 89-clinician group. Licensed in Connecticut.

Years since qualifying
17
Licensed in
CT
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

55 Hazard Ave
Enfield, CT 06082-3813
Phone: (860) 745-9911
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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 4083 (CT)

Record details

NPI number1528388709
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 10, 2010
Last updated in NPPESOctober 17, 2022
Certification dateOctober 17, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Midstate Radiology Associates Llc — 89 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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