Stephanie L Pettis, AGPC-NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

278553 Issued in AZ

Practice address

286 S Lenzner Ave
Sierra Vista, AZ 85635-5685

Phone

(520) 452-0388

Fax

(877) 281-8622

NPI assigned

Aug 8, 2022

Last updated

Dec 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Sierra Vista, AZ, CCN 037416
• Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Prescott Healthcare Solutions LLC

  dba Optima Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment Care Compare group NPD
• Swan Gastroenterology, P.C.

  • Gastroenterology Physician
  • Tucson, AZ
  • NPI 1619368891
  Medicare reassignment NPD
• Sundance Medical Associates PLLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1942481718
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Sierra Vista, AZ
  • NPI 1912291139
  Care Compare affiliation
• RCHP-Sierra Vista Inc

  dba Sonoita Family Health

  • Rural Health Clinic/Center
  • Sonoita, AZ
  • NPI 1013160290

  Hospital

  Care Compare affiliation
• RCHP-Sierra Vista Inc

  dba Canyon Vista Medical Center

  • General Acute Care Hospital
  • Sierra Vista, AZ
  • NPI 1194766543
  Care Compare affiliation
• RCHP-Sierra Vista Inc

  dba Tombstone Family Health

  • Rural Health Clinic/Center
  • Tombstone, AZ
  • NPI 1508010471

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1124756218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355685",
            "telephone_number": "520-452-0388",
            "fax_number": "877-281-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355685",
            "telephone_number": "520-452-0388",
            "fax_number": "877-281-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIS",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "AGPC-NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "278553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Franklin Terry Perkins III, M.D.
• Cynthia Allen Perry, RN
• Katherine R. Perry, MSW, BHP
• Tabetha J Perry, MSN, FNP-BC
• Angelo A Petropolis, MD
• Gail Phelps, M.ED
• Stephen D Phillips, OD
• Pima Heart Physicians, PC (Pima Heart & Vascular)
• Pima Heart Physicians, PC (Pima Heart & Vascular)
• Blaise Pistotnik, M.ED. M.A.

• Nurse Practitioner in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.