Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MS. Stephanie Nicole Livermore-Hale, PA-C

Individual provider Physician Assistant · NPI 1710288741

MS. Stephanie Nicole Livermore-Hale, PA-C is a Physician Assistant in Syracuse, New York. Qualified in 2010, 16 years ago. Practices with Upstate Community Medical, PC, a 152-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2010
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

4900 Broad Rd
Syracuse, NY 13215
Phone: (315) 492-5011
Fax: (315) 492-5320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 750 E Adams St, Syracuse, NY 13210-2342 — (315) 464-5540

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 014286 (NY)

Record details

NPI number1710288741
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 8, 2010
Last updated in NPPESJanuary 6, 2023
Certification dateJanuary 6, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Upstate Community Medical, Pc — 152 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients68
Services billed 119 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

  • University Hospital S U N Y Health Science Center Hospital · Syracuse, NY

Colleagues at Upstate Community Medical, PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 152 clinicians in the practice; 12 are shown here.

Other providers in Syracuse