Individual provider Active NPI

Stephanie Ann Kilborn

  • Family Medicine Physician
  • Show Low, AZ
National Provider Identifier
1376414581
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
332005 Issued in AZ
Practice address
2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone
(928) 537-6820
Fax
(928) 532-3558
NPI assigned
Sep 12, 2025
Last updated
Sep 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 332005 AZ Primary

Addresses

Primary practice location

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831

Mailing address

2200 E Show Low Lake Rd
Show Low, AZ 85901-7831
Phone (928) 537-6820

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
I20251210001327 AZ Practitioner - Nurse Practitioner 5294229050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4401 E Janice Way
Phoenix, AZ 85032-8511

6343 E Main St
Suite 12
Mesa, AZ 85205-8955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332005AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Cardiology Consultants, PC CurrentSince Dec 8, 2025 Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince Dec 8, 2025 Accepting new patients

Locations

177 W Cottonwood Ln
Ste 7
Casa Grande, AZ 85122
Phone (520) 836-4618

333 N Dobson Rd
Ste 11
Chandler, AZ 85224
Phone (480) 899-2020

1580 N Fiesta Blvd
Ste 100
Gilbert, AZ 85233

1760 E Pecos Rd
Ste 420
Gilbert, AZ 85295

6724 S Kings Ranch Rd
Ste 104
Gold Canyon, AZ 85118
Phone (480) 982-3337

143 S 63rd St
Mesa, AZ 85206
Phone (480) 993-1000

143 S 63rd St
Ste 100
Mesa, AZ 85206

1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206

6750 E Baywood Ave
Ste 506
Mesa, AZ 85206
Phone (408) 668-5000

36543 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

10440 E Riggs Rd
Ste 250
Sun Lakes, AZ 85248

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1376414581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017831",
            "telephone_number": "928-537-6820",
            "fax_number": "928-532-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E SHOW LOW LAKE RD",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017831",
            "telephone_number": "928-537-6820",
            "fax_number": "928-532-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILBORN",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-12",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "332005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

Verify at the official NPI Registry.