Elizabeth Kay Suprak, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

6825 Issued in AZ

Practice address

70 N McClintock Dr Ste 4
Chandler, AZ 85226-3711

Phone

(855) 501-1004

NPI assigned

Sep 28, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindpath Health Arizona LLCGroup PAC ID 7416321872, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mpaz.elizabethsuprak@151006.advancedmd-direct.com

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.

• Mindpath Health Arizona, LLC

  • Psychiatry Physician
  • Chandler, AZ
  • NPI 1821703885
  Medicare reassignment Care Compare group
• Transitions Center PLLC

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1821485954
  Medicare reassignment
• La Frontera Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1932404225
  NPD (past)
• Lafrontera Center Inc

  • Methadone Clinic
  • Tucson, AZ
  • NPI 1548361470
  NPD (past)
• Psychiatric Associates, PLLC

  • Child & Adolescent Psychiatry Physician
  • Tempe, AZ
  • NPI 1699681718
  NPD (past)
• Summit Medical Group Arizona LLC

  • Family Medicine Physician
  • Glendale, AZ
  • NPI 1053810622
  NPD (past)

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1710496146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "855-501-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N MCCLINTOCK DR STE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263711",
            "telephone_number": "855-501-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUPRAK",
        "first_name": "ELIZABETH",
        "middle_name": "KAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z208462",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sunshine Psychiatry and Mental Health Services PLLC
• Sunstate Cardiology PC
• Parker David Suorsa
• Superior Medical Trans, L.L.C
• Supervista North America
• Holly Surat, PT, DPT
• Nelia C Surgenor
• Surgical 1St Assists, LLC
• Surgical Assistance LLC
• Surgical Assistant LLC

• Medical Physician Assistant in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Medical Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.

Verify at the official NPI Registry.