Individual provider Active NPI

Troy Stevenson, PA

  • Psychiatry Physician
  • Apache Junction, AZ
National Provider Identifier
1972995892
Registry record updated Jan 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5992 Issued in AZ
Practice address
625 N Plaza Dr
Apache Junction, AZ 85120-5501
Phone
(480) 983-0065
Fax
(480) 288-5339
NPI assigned
Mar 2, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2021

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 5992 AZ
Psychiatry Physician 2084P0800X 5992 AZ Primary

Addresses

Primary practice location

625 N Plaza Dr
Apache Junction, AZ 85120-5501

Mailing address

625 N Plaza Dr
Apache Junction, AZ 85120-5501
Phone (480) 983-0065

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAZ

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
I20150512003005 AZ Practitioner - Physician Assistant 4082933171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Health and Wellness, Inc.Group PAC ID 6406759711, 17 clinicians

Practice addresses (Care Compare)

450 W Adamsville Rd
Florence, AZ 85132-8582
Phone (520) 836-1688

625 N Plaza Dr
Apache Junction, AZ 85120-5501
Phone (480) 983-0065

980 E Mt Lemmon Rd
Oracle, AZ 85623
Phone (520) 892-9240

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5992AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. CurrentSince Apr 6, 2015 Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Apr 6, 2015 Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Psychiatry Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients

Locations

477 E Broadway Ave
Apache Junction, AZ 85119
Phone (480) 474-5630

625 N Plaza Dr
Apache Junction, AZ 85120
Phone (480) 282-6278

115 W 2nd St
Casa Grande, AZ 85122
Phone (520) 836-1688

210 E Cottonwood Ln
Casa Grande, AZ 85122
Phone (520) 836-1688

22713 S Ellsworth Rd
Ste 101
San Tan Valley, AZ 85142
Phone (480) 474-5670

791 S 4th Ave
Ste B
Yuma, AZ 85364
Phone (928) 329-4322

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

Organizations & group practices 6

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": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1972995892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 N PLAZA DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205501",
            "telephone_number": "480-983-0065",
            "fax_number": "480-288-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 N PLAZA DR",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851205501",
            "telephone_number": "480-983-0065",
            "fax_number": "480-288-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "TROY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-02",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "5992",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "5992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.