Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stefany Jeneifer Cameron, PA-C

Individual provider Physician Assistant · NPI 1003103565

MS. Stefany Jeneifer Cameron, PA-C is a Physician Assistant in Bonney Lake, Washington. Qualified in 2011, 15 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania and Washington.

Years since qualifying
15
Licensed in
PA, WA
In the registry since
2011
Specialties on file
3
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

21709 113th St E
Bonney Lake, WA 98391-7844
Phone: (253) 737-5764
Fax: (253) 220-2127
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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 PA60511375 (WA)
Physician Assistant Taxonomy 363A00000X · Licence MA054996 (PA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA60511375 (WA)

Record details

NPI number1003103565
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 6, 2011
Last updated in NPPESJune 2, 2022
Certification dateJune 2, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

Other providers in Bonney Lake