Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831113745 Individual Practitioner Male Practitioner

Kristopher John Stillwell , PA

Physician Assistant • Manhasset, NY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Kristopher Stillwell, PA is a registered healthcare professional specializing in Physician Assistant in Manhasset, NY. Official NPI practice address is registered at 300 COMMUNITY DR.

Frequently performed procedures and clinical services include partial removal of spine bone with release of spinal cord and/or nerves, partial removal of middle spine bone with release of spinal cord and/or nerves. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

300 Community Dr

Manhasset, NY 110303876

Telephone 5165620100
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Manhasset, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.5 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
186 Specialists

Practicing in Manhasset, NY (15701 Statewide)

Telehealth Adoption Rate
1.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
81.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
63048 Partial removal of spine bone with release of spinal cord and/or nerves
19 12 $141.55 $37.86
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
11 11 $728.25 $123.97

Medical Specialties & State Licenses

CMS Verified: 2025-01-24
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 007332

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003375312

Doctor of Medicine (M.D.)

Rebecca Vicente , PA-C

Physician Assistant

NPI 1003462193

Physician Assistant (Certified)

Dr. Stephanie Ogir , MD

Student in an Organized Health Care Education/Training Program

NPI 1003675448

Doctor of Medicine (M.D.)

Dr. Fahim Hashmi , MD

Radiology - Diagnostic Radiology

NPI 1013303288

Doctor of Medicine (M.D.)

Jeffrey Greco

Emergency Medicine

NPI 1013329283
Tasnima Mohaimin

Student in an Organized Health Care Education/Training Program

NPI 1013412600

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 24, 2025

Registered at 300 COMMUNITY DR, MANHASSET, NY 110303876 (Tel: 5165620100)

📍
Updated Business Mailing Address January 24, 2025

Registered at 30 WILDFLOWER DR, KINGS PARK, NY 117545047 (Tel: 5166415097)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2025

Physician Assistant (License #007332 in NY)

NPI Profile Active March 05, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location March 05, 2008

Registered at 763 LARKFIELD RD, 2ND FLOOR, COMMACK, NY 117253131 (Tel: 6314622225)

📍
Updated Business Mailing Address March 05, 2008

Registered at 763 LARKFIELD RD, 2ND FLOOR, COMMACK, NY 117253131 (Tel: 6314622225)

👤
Provider Name / Credentials Updated March 05, 2008

Recorded as KRISTOPHER STILLWELL, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2008

Physician Assistant (License #007332 in NY)

🟢
Initial NPI Registration & Enumeration July 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831113745
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 26, 2006
Last Update: January 24, 2025
Sole Proprietor: No

Mailing Address

30 Wildflower Dr

Kings Park, NY 117545047

Phone: 5166415097

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.