Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacie L Moritz, PA-C

Individual provider Physician Assistant · NPI 1124075619

Stacie L Moritz, PA-C is a Physician Assistant in Bismarck, North Dakota. Qualified in 2002, 24 years ago. Practices with Bradley Gynecology PC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
24
Licensed in
ND
In the registry since
2006
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

3100 N 11th St Ste 1
Bismarck, ND 58503-1210
Phone: (701) 751-2272
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1000 E Rosser Ave, Bismarck, ND 58501-4414 — (701) 530-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PAC0285 (ND)

Record details

NPI number1124075619
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 28, 2006
Last updated in NPPESJuly 1, 2025
Certification dateJuly 1, 2025

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 Bradley Gynecology Pc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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