Individual provider Active NPI

Stephanie Schwenn, FNP

  • Family Nurse Practitioner
  • Page, AZ
National Provider Identifier
1093505182
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
262392 Issued in AZ
Practice address
827 Vista Ave
Page, AZ 86040-7501
Phone
(928) 645-9675
NPI assigned
May 12, 2025
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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 262392 AZ Primary

Addresses

Primary practice location

827 Vista Ave
Page, AZ 86040-7501

Mailing address

PO Box 1144
Page, AZ 86040-1144
Phone (920) 517-3763

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
I20250729003465 AZ Practitioner - Nurse Practitioner 1850808346 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262392AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Canyonlands Community Health Care CurrentSince Jun 1, 2025 Accepting new patients
Canyonlands Community Health Care Nurse Practitioner CurrentSince May 18, 2025 Accepting new patients
Canyonlands Community Health Care CurrentSince Jun 1, 2025 Accepting new patients
Canyonlands Community Health Care Past Accepting new patients
Canyonlands Community Health Care PastSince May 18, 2025 Accepting new patients

Locations

1615 S 1st Ave
Safford, AZ 85546
Phone (928) 348-1701

Interoperability endpoints

  • Direct secure messaging: stephanie.schwenn.p1@direct.canyonlands.nextgenshare.com

Organizations & group practices 5

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": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1093505182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1144",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860401144",
            "telephone_number": "920-517-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 VISTA AVE",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860407501",
            "telephone_number": "928-645-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWENN",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "262392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Page, AZ

Sources for this page

Verify at the official NPI Registry.