Individual provider Active NPI

Stephanie L Terrill, PA-C

  • Medical Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1861971590
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7214 Issued in AZ
Practice address
428 S Gilbert Rd Ste 101
Gilbert, AZ 85296-2261
Phone
(480) 677-8282
Fax
(844) 470-2777
NPI assigned
Aug 13, 2018
Last updated
Oct 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7214 AZ
Medical Physician Assistant 363AM0700X 7214 AZ Primary

Addresses

Primary practice location

428 S Gilbert Rd Ste 101
Gilbert, AZ 85296-2261

Mailing address

2563 S Val Vista Dr Ste 101
Gilbert, AZ 85295-6231
Phone (480) 573-0130

Other names 1

  • Stephanie L Moosman 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
I20190509001678 AZ Practitioner - Physician Assistant 2961745161 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians
Advanced Spine and Pain LLCGroup PAC ID 0941610075, 30 clinicians

Practice addresses (Care Compare)

287 E Hunt Hwy
Suite 105
San Tan Valley, AZ 85143-5096
Phone (480) 677-8282

428 S Gilbert Rd
Suite 101
Gilbert, AZ 85296-2261
Phone (480) 677-8282

4566 E Inverness Ave
Suite 205
Mesa, AZ 85206-4634
Phone (480) 573-0130

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Jan 15, 2024 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Dec 1, 2025 Accepting new patients
Advanced Spine and Pain LLC Physician Assistant CurrentSince Oct 1, 2025 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Dec 1, 2025 Accepting new patients
Advanced Spine and Pain LLC CurrentSince Oct 1, 2025 Accepting new patients
Good Health Medical, PLLC CurrentSince Jan 15, 2024 Accepting new patients
Healthyu Phoenix 31St Avenue, LLC PastSince Dec 6, 2022 Accepting new patients

Locations

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

2563 S Val Vista Dr
Ste 101A
Gilbert, AZ 85295
Phone (480) 985-9005

2563 S Val Vista Dr
Ste 101B
Gilbert, AZ 85295

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

4566 E Inverness Ave
Ste 205
Mesa, AZ 85206
Phone (480) 640-0513

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

126 E Main St
Ste D
Payson, AZ 85541
Phone (928) 472-5260

2525 W Greenway Rd
Ste 125
Phoenix, AZ 85023
Phone (480) 640-0513

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Interoperability endpoints

  • Direct secure messaging: stephanie.moosman.1@24378.direct.athenahealth.com
  • Direct secure messaging: sterrill25784@mydrnow.gardenplot.direct-ci.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1861971590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2563 S VAL VISTA DR STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956231",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S GILBERT RD STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852962261",
            "telephone_number": "480-677-8282",
            "fax_number": "844-470-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRILL",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "7214",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "7214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MOOSMAN",
            "middle_name": "L",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.