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

MS. Stacy D Mierau, PA-C

Individual provider Physician Assistant · NPI 1629054895

MS. Stacy D Mierau, PA-C is a Physician Assistant in Pismo Beach, California. Qualified in 2002, 24 years ago. Practices with Central Coast Orthopedic Medical Group, a 19-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2005
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

921 Oak Park Blvd Ste 204
Pismo Beach, CA 93449-3400
Phone: (805) 473-4949
Fax: (805) 473-3165
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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 PA16679 (CA)

Record details

NPI number1629054895
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 20, 2005
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Central Coast Orthopedic Medical Group — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Pismo Beach