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

Stacie Carrillo, PAC

Individual provider Physician Assistant · NPI 1730731068

Stacie Carrillo, PAC is a Physician Assistant in Hanover, Pennsylvania. Qualified in 2019, 7 years ago. Practices with Wellspan Medical Group, a 2,342-clinician group, works from 13 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
7
Licensed in
PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

100 Eisenhower Dr
Hanover, PA 17331-5241
Phone: (717) 646-4201
Fax: (717) 646-4202
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (12)

  • 9 Nathan Ln, Annville, PA 17003-6500 — (717) 639-3350
  • 1000 Norland Ave, Chambersburg, PA 17201-4229 — (717) 267-6363
  • 446 N Reading Rd, Ephrata, PA 17522-9802 — (717) 738-5275
  • 455 S Washington St Ste 12, Gettysburg, PA 17325-2516 — (717) 339-2875
  • 24 Antrim Commons Dr, Greencastle, PA 17225-1623 — (717) 593-0512
  • 101 W Airport Rd, Lititz, PA 17543-9274 — (717) 466-2445
  • 4050 N George Street Ext, Manchester, PA 17345-9347 — (717) 356-4370
  • 46 Walnut Bottom Rd Ste 100, Shippensburg, PA 17257-8219 — (717) 477-2764
  • 96 Sofia Dr Ste 208, Shrewsbury, PA 17361-5201 — (717) 812-2400
  • 601 E Main St, Waynesboro, PA 17268-2332 — (717) 765-5088
  • 2149 S Queen St, York, PA 17403-4845 — (717) 356-4460
  • 717 Town Center Dr, York, PA 17408-4824 — (717) 356-4240

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA060995 (PA)
Physician Assistant Taxonomy 363A00000X · Licence MA060995 (PA)

Record details

NPI number1730731068
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedJuly 16, 2019
Last updated in NPPESJune 12, 2026
Certification dateJune 12, 2026
Mailing address601 Memory Ln, York, PA 17402-2231

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Wellspan Medical Group — 2342 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Hanover