Individual provider Active NPI

Stephanie J Alvarez, NP

  • Nurse Practitioner
  • Lake Havasu City, AZ
National Provider Identifier
1619063740
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN051812 Issued in AZ
Practice address
1695 Mesquite Ave Ste 110
Lake Havasu City, AZ 86403-5684
Phone
(928) 855-7570
Fax
(928) 855-7574
NPI assigned
Oct 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN051812 AZ Primary

Addresses

Primary practice location

1695 Mesquite Ave Ste 110
Lake Havasu City, AZ 86403-5684

Mailing address

1695 Mesquite Ave Ste 110
Lake Havasu City, AZ 86403-5684
Phone (928) 855-7570

Other identifiers 1

IdentifierTypeStateIssuer
544644MedicaidAZ

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
I20040518000777 AZ Practitioner - Nurse Practitioner 9032109210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Sleep Physicians IncGroup PAC ID 5698905677, 27 clinicians

Practice addresses (Care Compare)

6320 W Union Hills Dr
BLDG B Suite 1000
Glendale, AZ 85308-1096
Phone (623) 328-5908

Merit-based Incentive Payment System (MIPS)

Final score
56.55 of 100Reported as group
Quality
87.14
Promoting interoperability
0
Improvement activities
20
Cost
76.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1049AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Sleep Physicians, Inc CurrentSince Aug 12, 2019 Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients
Havasu Regional Medical Center LLC PastSince May 8, 2009 Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients
Yuma Advanced Lab LLC Past Accepting new patients
Yuma Ear, Nose and Throat, LTD Past Accepting new patients
Southwest Heart and Vascular Care, LTD. Past Accepting new patients

Locations

1120 S Dobson Rd
Ste B100
Chandler, AZ 85286
Phone (480) 219-9473

6320 W Union Hills Dr
Ste 1000B
Glendale, AZ 85308

13481 W McDowell Rd
Ste 200A
Goodyear, AZ 85395

4555 E Inverness Ave
Ste 112
Mesa, AZ 85206
Phone (480) 361-0110

4555 E Inverness Ave
Bldg 3
Mesa, AZ 85206
Phone (480) 361-0110

10221 N 32nd St
Ste B
Phoenix, AZ 85028
Phone (480) 361-0110

3777 Crossings Dr
Ste C
Prescott, AZ 86305
Phone (480) 361-0110

9767 N 91st St
Ste B104
Scottsdale, AZ 85258

1790 E River Rd
Ste 140B
Tucson, AZ 85718
Phone (480) 361-0110

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1619063740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 MESQUITE AVE STE 110",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035684",
            "telephone_number": "928-855-7570",
            "fax_number": "928-855-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 MESQUITE AVE STE 110",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035684",
            "telephone_number": "928-855-7570",
            "fax_number": "928-855-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "STEPHANIE",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN051812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "544644",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.