Individual provider Active NPI

Stephanie A Pinchera, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1699962563
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3701 Issued in AZ
Practice address
2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352
Phone
(602) 952-0002
NPI assigned
Sep 25, 2007
Last updated
May 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3701 AZ Primary

Addresses

Primary practice location

2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352

Mailing address

2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352
Phone (602) 952-0002

Other practice location 1

708 S Coeur D Alene Ln Ste A
Payson, AZ 85541-5662
Phone (928) 472-7440

Other practice location 2

1890 E Florence Blvd Ste 1
Casa Grande, AZ 85122-5642
Phone (520) 381-8850

Other identifiers 1

IdentifierTypeStateIssuer
3701OtherAZLICENSE

Other names 1

  • Stephanie Kneisley 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
I20071023000309 AZ Practitioner - Physician Assistant 8426144338 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

4444 N 32ND St
Suite 120
Phoenix, AZ 85018-3956
Phone (480) 718-5072

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Feb 4, 2019 Accepting new patients
Honorhealth Ambulatory CurrentSince Jan 6, 2025 Accepting new patients
Honorhealth Ambulatory CurrentSince Jan 6, 2025 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

1890 E Florence Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 381-8850

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440

2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002

4444 N 32nd St
Ste 120
Phoenix, AZ 85018
Phone (480) 718-5072

4444 N 32nd St
Ste 175
Phoenix, AZ 85018
Phone (602) 952-0002

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

16427 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85254
Phone (480) 718-5072

7373 N Scottsdale Rd
Ste B120
Scottsdale, AZ 85253
Phone (480) 718-5072

Interoperability endpoints

  • Direct secure messaging: spinchera608503@direct.honorhealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1699962563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 E CAMELBACK RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164352",
            "telephone_number": "602-952-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 E CAMELBACK RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164352",
            "telephone_number": "602-952-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "708 S Coeur D Alene Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Payson",
            "state": "AZ",
            "postal_code": "855415662",
            "country_code": "US",
            "telephone_number": "928-472-7440",
            "fax_number": "928-472-7536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1890 E Florence Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225642",
            "country_code": "US",
            "telephone_number": "520-381-8850",
            "fax_number": "520-381-8851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINCHERA",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2021-05-10",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3701",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "KNEISLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.