Active NPI
Alana Stern, PA-C
- Physician Assistant
- Lake Havasu City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 101 Civic Center LN
Lake Havasu City, AZ 86403-5607 - Phone
- (480) 225-6003
- NPI assigned
- Jun 4, 2020
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | AZ | Primary |
Addresses
Primary practice location
101 Civic Center LN
Lake Havasu City, AZ 86403-5607
Mailing address
101 Civic Center LN
Lake Havasu City, AZ 86403-5683
Phone (928) 855-8185
Other practice location 1
520 Rose Ln
Wickenburg, AZ 85390-1447
Phone (928) 668-1803
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201023002627 | AZ | Practitioner - Physician Assistant | 7517387996 | Reassigns benefits to 6 organizations |
| I20231128002100 | TX | Practitioner - Physician Assistant | 7517387996 | Reassigns benefits to 1 organization |
| I20231201002490 | WA | Practitioner - Physician Assistant | 7517387996 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7834 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital Association, Inc. | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Tri-State Memorial Hospital | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients |
Locations
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
523 Rose Ln
Wickenburg, AZ 85390
Phone (928) 668-1833
520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197
1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312
Organizations & group practices 12
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.
-
- Emergency Medicine Physician
- Lake Havasu City, AZ
- NPI 1134439706
AZ
-
- Urgent Care Clinic/Center
- Wickenburg, AZ
- NPI 1023683315
-
- Community/Behavioral Health Agency
- Laveen, AZ
- NPI 1598021495
-
- Community Based Hospice Care Agency
- Clarkston, WA
- NPI 1831100254
-
- Family Medicine Physician
- Clarkston, WA
- NPI 1932405693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1659995652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 CIVIC CENTER LN",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035683",
"telephone_number": "928-855-8185"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CIVIC CENTER LN",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035607",
"telephone_number": "480-225-6003"
}
],
"practiceLocations": [
{
"address_1": "520 Rose Ln",
"address_purpose": "LOCATION",
"city": "Wickenburg",
"state": "AZ",
"postal_code": "853901447",
"country_code": "US",
"telephone_number": "928-668-1803",
"fax_number": "928-684-2434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STERN",
"first_name": "ALANA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-04",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; 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.