NPIMap

Individual provider Active NPI

Stephanie Peishan Yu, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1356853824
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6957 Issued in AZ
Practice address
59 S Hibbert
Mesa, AZ 85210-1414
Phone
(480) 344-6200
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6957 AZ Primary

Addresses

Primary practice location

59 S Hibbert
Mesa, AZ 85210-1414

Mailing address

59 S Hibbert
Mesa, AZ 85210-1414

Other practice location 1

811 S Hamilton St
Chandler, AZ 85225-6308
Phone (480) 344-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130001821 AZ Practitioner - Physician Assistant 4183981046 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

33 W Tamarisk St
Phoenix, AZ 85041-2422
Phone (602) 344-6400

811 S Hamilton St
Chandler, AZ 85225-6308
Phone (480) 344-6100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District CurrentSince Apr 13, 2018 Accepting new patients
District Medical Group, Inc Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
District Medical Group, Inc CurrentSince Apr 1, 2018 Accepting new patients
Maricopa County Special Health Care District CurrentSince Apr 13, 2018 Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

811 S Hamilton St
Chandler, AZ 85225
Phone (480) 344-6100

950 E Main St
Mesa, AZ 85203
Phone (602) 655-6200

59 S Hibbert
Mesa, AZ 85210
Phone (480) 344-6200

2619 E Pierce St
Phoenix, AZ 85008
Phone (480) 344-2000

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

Interoperability endpoints

  • Direct secure messaging: syu172649@direct.valleywisehealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1356853824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 S HIBBERT",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 S HIBBERT",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101414",
            "telephone_number": "480-344-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "811 S Hamilton St",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852256308",
            "country_code": "US",
            "telephone_number": "480-344-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YU",
        "first_name": "STEPHANIE",
        "middle_name": "PEISHAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.