Kenna J Stephenson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27158 Issued in AZ

Practice address

1090 Commerce Dr
Prescott, AZ 86305-3700

Phone

(928) 583-1000

Fax

(866) 323-8458

NPI assigned

Sep 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GU, AZ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Texas Tech University Health Science Center School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Davis OrthopaedicsGroup PAC ID 0749506269, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Davis Orthopaedics

  • Orthopaedic Surgery Physician
  • Prescott Valley, AZ
  • NPI 1932505674
  Medicare reassignment Care Compare group NPD
• Prescott Medical Investment LLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1184408874
  Medicare reassignment NPD
• Raghav LLC

  • Multi-Specialty Clinic/Center
  • Surprise, AZ
  • NPI 1598125791
  Medicare reassignment NPD
• American Medical Center, LLC

  • Urgent Care Clinic/Center
  • Upper Tumon, GU
  • NPI 1457329849
  Medicare reassignment NPD
• Marana Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
  • NPI 1396512034
  NPD
• Marana Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Marana, AZ
  • NPI 1447263405

  Family Medicine

  NPD
• Marana Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Tucson, AZ
  • NPI 1295986735
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yavapai Community Hospital Association

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1962697755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-616-1531",
            "fax_number": "520-616-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 COMMERCE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863053700",
            "telephone_number": "928-583-1000",
            "fax_number": "866-323-8458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2945 W Ina Rd Ste 215&221",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857412350",
            "country_code": "US",
            "telephone_number": "520-616-1531",
            "fax_number": "520-616-1536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3212 N Windsong Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142255",
            "country_code": "US",
            "telephone_number": "928-583-1000",
            "fax_number": "866-751-4157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "KENNA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H8435",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "27158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137268211",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ben S Stehower
• Nicole Stelmach, SLP-CCC
• Stephen a. Cantor, M.D., P.C.
• Stephen T. Linn MD LLC
• Stephen W Dahn MD
• Christina Ellen Sternesky, APN
• Karl Traeger Stertzbach, L.AC.
• Jennifer Burton Sterzbach, SLP
• Steven Paley OD, Inc.
• Brent R. Stevens, D.C.

• Family Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.