STACY MARIE CANTWELL
NPI 1164760245
Nurse Practitioner - Adult Health in Chandler, AZ

Q: What is Stacy Cantwell's NPI number?

The NPI number for Stacy Cantwell is 1164760245. It was assigned to this individual provider in the NPPES registry on January 23, 2013. The provider is also known as Stacy Marie Shelton Acnp.

Q: What is Stacy Cantwell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Cantwell was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since January 23, 2013PECOS EnrolledAccepts Medicare Assignment

485 S DOBSON RD STE 201, CHANDLER, AZ 85224(480) 728-4728(480) 728-4747 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 6, 2024, Jul 30, 2024, Jul 15, 2019 (3 updates tracked since 2019).

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About Stacy Marie Cantwell NPPES

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

STACY MARIE CANTWELL (NPI 1164760245) is an individual adult health provider in Chandler, Arizona, licensed in Arizona (AP8669) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chandler, and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (2012).

NPPES Registry Identity

NPI1164760245

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSTACY MARIE CANTWELL

Location Address485 S DOBSON RD STE 201Chandler, AZ 85224-5604

Mailing AddressPo Box 33269Phoenix, AZ 85067-3269 · (602) 406-4786 · Fax (916) 636-4358

Phone(480) 728-4728

Fax(480) 728-4747

Sole ProprietorNo

Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 2012

Enumeration DateJanuary 23, 2013

Last NPPES UpdateNovember 6, 20243 updates tracked since enumeration

NPPES CertifiedNovember 6, 2024

✔ NPI 1164760245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in AZ · AP8669

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 22570 (CA)

485 S DOBSON RD STE 201, Chandler, AZ 85224

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Other Names 1

Former Name (1)Stacy Marie Shelton Acnp

Secondary Practice Location 1

Location 11955 W Frye RdChandler, AZ 85224-6282 · Phone (480) 728-4700 · Fax (480) 728-4747

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Stacy Marie Cantwell 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 ID6305082629

PECOS Enrollment IDI20160921000146

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85224 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 20

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

SARAH WILSON PA-C

Physician Assistant (Medical)