Stacy E. Zickl, PA-C
NPI 1336551605ActiveIndividual· Physician Assistant· Keene, NH
Physician Assistant (PA-C) in Keene, New Hampshire, trained at Yale University School of Medicine (class of 2013). 500 Medicare patients in 2024, $20,112 paid; nearly all of their 449 Part D prescriptions were generic (93%).
Overview
| NPI | 1336551605 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 21, 2014 |
| Last updated in NPPES | Aug 11, 2021 |
| Certified by provider | Aug 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1025 | NH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 500 |
|---|---|
| Services billed | 552 across 9 procedure codes |
| Paid by Medicare | $20,112 |
Part D prescriptions in 2024
| Prescriptions (claims) | 449 · 457 30-day fills |
|---|---|
| Patients | 360 |
| Total drug cost | $6,371 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | Yale University School of Medicine |
|---|---|
| Graduation year | 2013 |
| Medicare specialty | Physician Assistant |
Medical group
- Mary Hitchcock Memorial HospitalManchester, NH · 1,280 clinicians
Hospital affiliation
- Cheshire Medical CenterKeene, NH
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 36 physician assistants in Keene · All physician assistants in New Hampshire