Active NPI
Susan Lynn Stefanski, FNP
- Nurse Practitioner
- Peoria, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 291364
- Practice address
- 26900 N Lake Pleasant Pkwy Ste 210
Peoria, AZ 85383-1558 - Phone
- (623) 561-3000
- NPI assigned
- Apr 7, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 209015839 | IL | |
| Nurse Practitioner | 363L00000X | 291364 | AZ | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 209-015839 | IL |
Addresses
Primary practice location
26900 N Lake Pleasant Pkwy Ste 210
Peoria, AZ 85383-1558
Mailing address
PO Box 18892
Belfast, ME 04915-4083
Phone (469) 803-3000
Other names 1
- Susan Lynn Stefanski
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
26900 N Lake Pleasant Pkwy
Suite 210
Peoria, AZ 85383-1558
Phone (623) 561-3000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-015839 | IL | MD | Primary Care Nurse Practitioner |
| 209015839 | IL | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Current | Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000
13640 N Plaza del Rio Blvd
Ste 10220
Peoria, AZ 85381
13640 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 876-3800
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Interoperability endpoints
- sstefanski586505@direct.ochin.org
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.
-
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1659640902
-
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1891302790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1720511645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18892",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154083",
"telephone_number": "469-803-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26900 N LAKE PLEASANT PKWY STE 210",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853831558",
"telephone_number": "623-561-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFANSKI",
"first_name": "SUSAN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-07",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "209015839",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "291364",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "IL",
"license": "209-015839",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUSAN",
"last_name": "STEFANSKI",
"middle_name": "LYNN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.