Individual provider Active NPI

Shawna Steffes, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1821614520
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RNP242774 Issued in AZ
Practice address
11361 N 99TH Ave
Peoria, AZ 85345-5470
Phone
(602) 636-4605
NPI assigned
Jun 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RNP242774 AZ Primary

Addresses

Primary practice location

11361 N 99TH Ave
Peoria, AZ 85345-5470

Mailing address

8674 N 95TH Ave
Peoria, AZ 85345-7727
Phone (602) 628-3434

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
I20211018002781 AZ Practitioner - Nurse Practitioner 2365840642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leading Healthcare Specialist PLLCGroup PAC ID 6002246352, 20 clinicians

Practice addresses (Care Compare)

12622 E Victoria St
Chandler, AZ 85249-3748
Phone (623) 295-1190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RNP242774AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Healthcare Specialist PLLC Psychiatric/Mental Health CurrentSince Nov 1, 2021 Accepting new patients
Mind Clarity Institute Psychiatric/Mental Health Current Accepting new patients

Locations

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

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.

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1821614520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8674 N 95TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457727",
            "telephone_number": "602-628-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11361 N 99TH AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853455470",
            "telephone_number": "602-636-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFFES",
        "first_name": "SHAWNA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP242774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.