Active NPI
Jane E Stevenson, PA
- Medical Physician Assistant
- Gilbert, AZ
National Provider Identifier
1285885863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 4282
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4282 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Circle the City | Current | Accepting new patients | |
| Circle the City | Current | Accepting new patients | |
| Aloha Cardiology P.C. | Past | Accepting new patients | |
| Deseret Family Medicine at Greenfield PLC | Past | 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
- 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.
-
- Community/Retail Pharmacy
- Phoenix, AZ
- NPI 1144093972
-
- Federally Qualified Health Center (FQHC)
- Phoenix, AZ
- NPI 1548775570
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1023828431
-
- Specialist
- Gilbert, AZ
- NPI 1659703650
-
- Primary Care Clinic/Center
- Mesa, AZ
- NPI 1619620200
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1245759307
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.