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

Individual provider Surgical Physician Assistant · NPI 1609663715

Stephanie Phoenix, PA-C is a Physician Assistant in New Haven, Connecticut. Qualified in 2025, 1 year ago. Practices with Yale University, a 2,618-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
1
Licensed in
CT
In the registry since
2025
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

1450 Chapel St
New Haven, CT 06511-4405
Phone: (203) 789-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20 York St, New Haven, CT 06510-3220 — (203) 688-4242

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 23.007148 (CT)

Record details

NPI number1609663715
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 22, 2025
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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