Individual provider Active NPI

Andrea Lynn Stahl, NP

  • Adult Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1467701847
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
807370 Issued in AZ
Practice address
1244 N Greenfield Rd Ste 104
Mesa, AZ 85205-4078
Phone
(480) 964-6900
Fax
(480) 964-6901
NPI assigned
Aug 31, 2012
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 807370 AZ Primary

Addresses

Primary practice location

1244 N Greenfield Rd Ste 104
Mesa, AZ 85205-4078

Mailing address

1244 N Greenfield Rd Ste 104
Mesa, AZ 85205-4078
Phone (480) 964-6900

Other identifiers 1

IdentifierTypeStateIssuer
1452341MedicaidND

Other names 1

  • Andrea Lynn Gingerich Former name

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
I20241017000990 AZ Practitioner - Nurse Practitioner 9436300571 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Hospital AssociationGroup PAC ID 6002716701, shared by 8 NPIs, 24 clinicians

Practice addresses (Care Compare)

2975 Hwy 2 E
Rugby, ND 58368-7801
Phone (701) 776-5261

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
807370AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greenfield Family Medicine LLC CurrentSince Dec 14, 2025 Accepting new patients

Locations

1244 N Greenfield Rd
Ste 104
Mesa, AZ 85205
Phone (480) 964-6900

Interoperability endpoints

  • Direct secure messaging: andrea.stahl.p1@direct.swcva.nextgenshare.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDFCDA/Endpoint/EDFCDA

Organizations & group practices 1

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1467701847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1244 N GREENFIELD RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054078",
            "telephone_number": "480-964-6900",
            "fax_number": "480-964-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1244 N GREENFIELD RD STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852054078",
            "telephone_number": "480-964-6900",
            "fax_number": "480-964-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHL",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "807370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1452341",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "GINGERICH",
            "middle_name": "LYNN",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.