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

Stephanie Pineiro, PA-C

Individual provider Physician Assistant · NPI 1154111714

Stephanie Pineiro, PA-C is a Physician Assistant in Colchester, Connecticut. Qualified in 2024, 2 years ago. Practices with Prohealth Physicians PC, a 212-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
2
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

119 Broadway St
Colchester, CT 06415-1022
Phone: (203) 390-8054
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6822 (CT)

Record details

NPI number1154111714
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 7, 2025
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address119 Broadway St, Colchester, CT 06415-1022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Prohealth Physicians Pc — 212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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