Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stephanie Ina Mary Struble, PA-C

Individual provider Physician Assistant · NPI 1710416300

Stephanie Ina Mary Struble, PA-C is a Physician Assistant in State College, Pennsylvania. Qualified in 2017, 9 years ago. Practices with Silver Willow Wellness PC, a 115-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2017
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

1951 Pine Hall Rd Ste 225
State College, PA 16801-5106
Phone: (814) 237-0001
Fax: (814) 237-0001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (PA)

Record details

NPI number1710416300
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 7, 2017
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Silver Willow Wellness Pc — 115 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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