Individual provider Active NPI

Stacey Leija

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1043031651
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
315175 Issued in AZ
Practice address
137 E Elliot Rd Unit 1605
Gilbert, AZ 85299-6777
Phone
(480) 999-5817
NPI assigned
Oct 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 315175 AZ Primary

Addresses

Primary practice location

137 E Elliot Rd Unit 1605
Gilbert, AZ 85299-6777

Mailing address

137 E Elliot Rd Unit 1605
Gilbert, AZ 85299-6777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241224000185 AZ Practitioner - Nurse Practitioner 1355878711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaria Behavioral Health Center LLC Psychiatric/Mental Health CurrentSince Dec 10, 2024 Accepting new patients
Gracefulion LLC Psychiatric/Mental Health CurrentSince Jan 26, 2025 Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients

Locations

137 E Elliot Rd
Unit 1605
Gilbert, AZ 85299
Phone (480) 999-5817

6197 S Rural Rd
Ste 101
Tempe, AZ 85283
Phone (480) 204-2477

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1043031651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 E ELLIOT RD UNIT 1605",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852996777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 E ELLIOT RD UNIT 1605",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852996777",
            "telephone_number": "480-999-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEIJA",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "315175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.