Individual provider Active NPI

Lorraine Stevens, P.A.

  • Medical Physician Assistant
  • Surprise, AZ
National Provider Identifier
1740585272
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4781 Issued in AZ
Practice address
13945 W Grand Ave
Suite 105
Surprise, AZ 85374-2437
Phone
(623) 546-0007
Fax
(623) 584-6915
NPI assigned
Jan 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4781 AZ Primary

Addresses

Primary practice location

13945 W Grand Ave
Suite 105
Surprise, AZ 85374-2437

Mailing address

13945 W Grand Ave
Suite 105
Surprise, AZ 85374-2437
Phone (623) 546-0007

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
I20110422000406 AZ Practitioner - Physician Assistant 5193900819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bestcare Internal Medicine PLLCGroup PAC ID 4082751466, 4 clinicians

Practice addresses (Care Compare)

13945 W Grand Ave
Suite a 105
Surprise, AZ 85374-2437
Phone (623) 546-0007

Hospital & facility affiliations

  • Emblem Home Health Phoenix Home health agency, Phoenix, AZ, CCN 037438
  • Banner del E. Webb Medical Center Hospital, Sun City West, AZ, CCN 030093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4781AZMDOccupational Therapist

Interoperability endpoints

  • Direct secure messaging: bestcareinternalmedicine.lorrainestevens@153545.advancedmd-direct.com

Organizations & group practices 2

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 2

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": "1294876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1740585272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13945 W GRAND AVE",
            "address_2": "SUITE 105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742437",
            "telephone_number": "623-546-0007",
            "fax_number": "623-584-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13945 W GRAND AVE",
            "address_2": "SUITE 105",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742437",
            "telephone_number": "623-546-0007",
            "fax_number": "623-584-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "LORRAINE",
        "name_prefix": "Ms.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-13",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.