Individual provider Active NPI

Susan Lynn Stefanski, FNP

  • Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1720511645
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
291364 Issued in AZ
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

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
I20230919001840 AZ Practitioner - Nurse Practitioner 5698043669 Reassigns benefits to 2 organizations

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
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

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

LicenseStateTypeSpecialty
209-015839ILMDPrimary Care Nurse Practitioner
209015839ILMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 14, 2026 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 14, 2026 Accepting new patients
Banner Primary Care Physicians Arizona LLC Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jan 5, 2026 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.