Individual provider Active NPI

Stephanie Schafer, DNP

  • Family Nurse Practitioner
  • Cave Creek, AZ
National Provider Identifier
1093202731
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11158 Issued in AZ
Practice address
28138 N Tatum Blvd
Cave Creek, AZ 85331-6303
Phone
(186) 638-9272
NPI assigned
Apr 18, 2018
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11158 AZ Primary

Addresses

Primary practice location

28138 N Tatum Blvd
Cave Creek, AZ 85331-6303

Mailing address

2430 W Sleepy Ranch Rd
Phoenix, AZ 85085-7039
Phone (602) 410-1697

Other practice location 1

3501 N Scottsdale Rd Ste 230
Scottsdale, AZ 85251-5649
Phone (602) 410-1697

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
I20191126000179 AZ Practitioner - Nurse Practitioner 4284067620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Lee Averitte Jr PLLCGroup PAC ID 9638069099, 31 clinicians

Practice addresses (Care Compare)

19646 N 27TH Ave
Suite 305
Phoenix, AZ 85027-4027
Phone (480) 556-0446

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11158AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Lee Averitte Jr PLLC CurrentSince Sep 6, 2021 Accepting new patients
Richard Lee Averitte Jr PLLC PastSince Sep 6, 2021 Accepting new patients

Locations

19646 N 27th Ave
Ste 305
Phoenix, AZ 85027

20401 N 73rd St
Ste 230
Scottsdale, AZ 85255

Interoperability endpoints

  • Direct secure messaging: sschafer@affderm.emadirect.md

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1093202731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 W SLEEPY RANCH RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850857039",
            "telephone_number": "602-410-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28138 N TATUM BLVD",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316303",
            "telephone_number": "186-638-9272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3501 N Scottsdale Rd Ste 230",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852515649",
            "country_code": "US",
            "telephone_number": "602-410-1697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAFER",
        "first_name": "STEPHANIE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-18",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

Verify at the official NPI Registry.