Individual provider Active NPI

Jane E Stevenson, PA

  • Medical Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1285885863
Registry record updated Jul 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4282 Issued in AZ
Practice address
428 S Gilbert Rd Ste 101
Gilbert, AZ 85296-2261
Phone
(480) 677-8282
Fax
(480) 677-8283
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4282 AZ Primary

Addresses

Primary practice location

428 S Gilbert Rd Ste 101
Gilbert, AZ 85296-2261

Mailing address

4600 S Mill Ave
Suite 280
Tempe, AZ 85282
Phone (480) 305-2888

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
I20090723000057 AZ Practitioner - Physician Assistant 4587716642 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
4282AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Jul 20, 2017 Accepting new patients
Circle the City CurrentSince May 1, 2020 Accepting new patients
Circle the City CurrentSince May 1, 2020 Accepting new patients
Aloha Cardiology P.C. Past Accepting new patients
Deseret Family Medicine at Greenfield PLC PastSince Mar 20, 2022 Accepting new patients
Livn, P.C. Past Accepting new patients

Locations

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

220 S 12th Ave
Phoenix, AZ 85007
Phone (602) 372-2100

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEEECD

Organizations & group practices 10

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": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501027200000",
    "number": "1285885863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 S MILL AVE",
            "address_2": "SUITE 280",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85282",
            "telephone_number": "480-305-2888",
            "fax_number": "480-305-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962261",
            "telephone_number": "480-677-8282",
            "fax_number": "480-677-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "JANE",
        "middle_name": "E",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2017-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.