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

Stacey J Gibson, PA-C

Individual provider Physician Assistant · NPI 1376820340

Stacey J Gibson, PA-C is a Physician Assistant in Spring Grove, Pennsylvania. Qualified in 2011, 15 years ago. Practices with Pinnacle Health Medical Services, a 1,026-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
15
Licensed in
PA
In the registry since
2011
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2030 Thistle Hill Dr Ste 100
Spring Grove, PA 17362-1160
Phone: (717) 225-9869
Fax: (717) 225-6552
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence MA055299 (PA)

Record details

NPI number1376820340
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 4, 2011
Last updated in NPPESJanuary 2, 2021
Certification dateJanuary 2, 2021

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)
Group practice Pinnacle Health Medical Services — 1026 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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