Individual provider Active NPI

Laura Anne Stager, FNP

  • Family Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1710439773
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9748 Issued in AZ
Practice address
1811 E McMurray Blvd
Casa Grande, AZ 85122-5404
Phone
(520) 374-6530
Fax
(520) 374-6541
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9748 AZ Primary

Addresses

Primary practice location

1811 E McMurray Blvd
Casa Grande, AZ 85122-5404

Mailing address

1811 E McMurray Blvd
Casa Grande, AZ 85122-5404
Phone (520) 374-6536

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
I20170210001354 AZ Practitioner - Nurse Practitioner 3577846831 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians

Practice addresses (Care Compare)

1811 E McMurray Blvd
Casa Grande, AZ 85122-5404
Phone (520) 374-6530

Hospital & facility affiliations

  • Sweetheart Healthcare LLC Home health agency, Chandler, AZ, CCN 037813
  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Apr 7, 2019 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Apr 7, 2019 Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients
Sun Life Family Health Center, Inc. Past Accepting new patients
Sun Life Family Health Center, Inc Past Accepting new patients

Locations

1780 E Florence Blvd
Ste 108
Casa Grande, AZ 85122
Phone (520) 381-6090

1811 E McMurray Blvd
Casa Grande, AZ 85122
Phone (520) 374-2090

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

2225 W Southern Ave
Mesa, AZ 85202
Phone (480) 412-4101

13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1710439773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 E MCMURRAY BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225404",
            "telephone_number": "520-374-6536",
            "fax_number": "520-374-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 E MCMURRAY BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225404",
            "telephone_number": "520-374-6530",
            "fax_number": "520-374-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGER",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.