MS. STEPHANIE L PETTIS AGPC-NP
NPI 1124756218
Nurse Practitioner in Sierra Vista, AZ

Active since August 08, 2022PECOS EnrolledAccepts Medicare Assignment
286 S LENZNER AVE, SIERRA VISTA, AZ 85635(520) 452-0388(877) 281-8622 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 4, 2025, Dec 6, 2023, Oct 9, 2023 and 1 more (4 updates tracked since 2022).

About Ms. Stephanie L Pettis Agpc-np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. STEPHANIE L PETTIS AGPC-NP (NPI 1124756218) is an individual nurse practitioner in Sierra Vista, Arizona, licensed in Arizona (278553) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1124756218
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. STEPHANIE L PETTISCredential: AGPC-NP
Location Address286 S LENZNER AVESierra Vista, AZ 85635-5685
Mailing Address286 S Lenzner AveSierra Vista, AZ 85635-5685 · (520) 452-0388 · Fax (877) 281-8622
Fax(877) 281-8622
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 8, 2022
Last NPPES UpdateDecember 4, 20254 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
NPI 1124756218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AZ · 278553
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
286 S LENZNER AVE, Sierra Vista, AZ 85635

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Stephanie L Pettis Agpc-np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254717671
PECOS Enrollment IDI20221007000680
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 34

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
524 services201 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
339 services85 patients
Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458
This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.
129 services24 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
123 services123 patients
Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes G0446
This is a yearly, personal consultation focused on behaviors affecting heart health. It lasts 15 minutes and may cover topics like diet, exercise, and stress management. It's about learning healthy habits to protect your heart.
123 services123 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
119 services48 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85635 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
286 S LENZNER AVE
SIERRA VISTA, AZ 85635
Nurse Practitioner (Family)
286 S LENZNER AVE
SIERRA VISTA, AZ 85635
Nurse Practitioner
286 S LENZNER AVE
SIERRA VISTA, AZ 85635
Nurse Practitioner (Family)
286 S LENZNER AVE
SIERRA VISTA, AZ 85635
Family Medicine (Adult Medicine)
286 S LENZNER AVE
SIERRA VISTA, AZ 85635
Nurse Practitioner (Family)
286 S LENZNER AVE
SIERRA VISTA, AZ 85635
Nurse Practitioner (Family)
286 S LENZNER AVE
SIERRA VISTA, AZ 85635
Internal Medicine
286 S LENZNER AVE
SIERRA VISTA, AZ 85635

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Pettis's NPI number?

The NPI number for Stephanie Pettis is 1124756218. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Stephanie Pettis located?

Stephanie Pettis practices at 286 S Lenzner Ave, Sierra Vista, AZ 85635. The listed phone number is (520) 452-0388.

What is Stephanie Pettis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Stephanie Pettis enrolled in Medicare?

Yes. Stephanie Pettis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stephanie Pettis accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and UnitedHealthcare list Stephanie Pettis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stephanie Pettis was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.