Active NPI
Stephanie Mikolajczyk, FNP
- Family Nurse Practitioner
- Laveen, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 313654
- Practice address
- 5343 W Lydia LN
Laveen, AZ 85339-3053 - Phone
- (219) 487-9098
- NPI assigned
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 313654 | AZ | Primary |
Addresses
Primary practice location
5343 W Lydia LN
Laveen, AZ 85339-3053
Mailing address
5343 W Lydia LN
Laveen, AZ 85339-3053
Phone (219) 487-9098
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10510 N 92ND St
Scottsdale, AZ 85258-4566
6170 S 51St Ave
Suite 103
Laveen, AZ 85339-6305
Phone (602) 607-2700
7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Foot and Ankle Medical Center PLLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients |
Locations
3920 S Alma School Rd
Ste 1
Chandler, AZ 85248
Phone (602) 607-2700
6170 S 51st Ave
Ste 103
Laveen, AZ 85339
Phone (602) 237-3330
Organizations & group practices 4
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.
-
- Foot & Ankle Surgery Podiatrist
- Laveen, AZ
- NPI 1427511872
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1659995892
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mesa, AZ
- NPI 1689121188
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1275566200
-
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1811951429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1699500132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5343 W LYDIA LN",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853393053",
"telephone_number": "219-487-9098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5343 W LYDIA LN",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853393053",
"telephone_number": "219-487-9098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKOLAJCZYK",
"first_name": "STEPHANIE",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-04",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "313654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.