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

Stacy Beth Ellen, DO

Individual provider Pediatrics Physician · NPI 1467680769

Stacy Beth Ellen, DO is a Pediatric Medicine in Philadelphia, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2009, 17 years ago. Practices with Stc Pediatrics LLC, a 70-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
17
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

160 E Erie Ave
Philadelphia, PA 19134-1011
Phone: (215) 427-5000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence OS016136 (PA)

Record details

NPI number1467680769
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 24, 2009
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2009 (17 years in practice)
Group practice Stc Pediatrics Llc — 70 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Philadelphia