Individual provider Active NPI

Steji Koshy

  • Psychiatric/Mental Health Nurse Practitioner
  • Apache Junction, AZ
National Provider Identifier
1982087946
Registry record updated Jul 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP7920 Issued in AZ
Practice address
625 N Plaza Dr
Apache Junction, AZ 85120-5501
Phone
(480) 474-5668
NPI assigned
Jul 8, 2015
Last updated
Jul 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP7920 AZ Primary
Primary Care Nurse Practitioner 363LP2300X AP7920 AZ

Addresses

Primary practice location

625 N Plaza Dr
Apache Junction, AZ 85120-5501

Mailing address

1728 E Cortez Dr
Gilbert, AZ 85234-4961

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
I20150831002750 AZ Practitioner - Nurse Practitioner 5890001200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Health and Wellness, Inc. Current Accepting new patients
Horizon Health and Wellness, Inc. CurrentSince Aug 30, 2015 Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Psychiatric/Mental Health Past Accepting new patients
Horizon Health & Wellness, Inc. Past Accepting new patients
Horizon Health & Wellness, Inc. Past Accepting new patients
Florence Unified School District #1 Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Florence Unified School District PastSince Oct 19, 2020 Accepting new patients

Locations

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

477 E Broadway Ave
Bldg 2
Apache Junction, AZ 85119

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

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

23 S McNab Pkwy
San Manuel, AZ 85631
Phone (520) 385-2234

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

29697 N Desert Willow Blvd
San Tan Valley, AZ 85143
Phone (480) 987-5360

32375 N Gantzel Rd
San Tan Valley, AZ 85143
Phone (480) 474-6100

400 W Main St
Superior, AZ 85173
Phone (520) 689-2457

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

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1982087946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 E CORTEZ DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344961"
        },
        {
            "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": "480-474-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHY",
        "first_name": "STEJI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP7920",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP7920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.