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

Stacey Pault, PA-C

Individual provider Physician Assistant · NPI 1356621643

Stacey Pault, PA-C is a Physician Assistant in Soldotna, Alaska. Qualified in 2010, 16 years ago. Practices with Peninsula Community Health Services of Alaska Inc, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alaska and Colorado.

Years since qualifying
16
Licensed in
AK, CO
In the registry since
2011
Specialties on file
2
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

230 E Marydale Ave
Soldotna, AK 99669-7648
Phone: (907) 262-3119
Fax: (907) 262-9290
Show map & directions

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

Additional practice locations (1)

  • 1339 S Pueblo Blvd, Pueblo, CO 81005-1686 — (719) 564-9400

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 127937 (AK)
Physician Assistant Taxonomy 363A00000X · Licence PA-3281 (CO)

Record details

NPI number1356621643
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 18, 2011
Last updated in NPPESMarch 26, 2021
Certification dateMarch 26, 2021
Mailing address230 E Marydale Ave, Soldotna, AK 99669-7648

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Peninsula Community Health Services Of Alaska Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Soldotna