# MERISSA YVONNE STOOPS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982122578
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10003916A | IN | Yes |
| 363A00000X | Physician Assistant | 1155930 | WA | — |
| 363A00000X | Physician Assistant | PA-2562 | ID | — |
| 363A00000X | Physician Assistant | PA60902142 | WA | — |
| 363AS0400X | Surgical Physician Assistant | 64545 | CA | — |

## Other

- **Enumeration date:** 09/02/2017
- **Last updated:** 10/08/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 233690175 | MEDICARE | IN |