STEPHANIE C MAVIS M.D.
NPI 1184032518
Pediatrics - Neonatal-Perinatal Medicine in Rochester, MN

Q: What is Stephanie Mavis's NPI number?

The NPI number for Stephanie Mavis is 1184032518. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Q: What is Stephanie Mavis's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Mavis was last updated on September 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 29, 2014PECOS Enrolled

200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 6, 2020, Dec 21, 2016 (2 updates tracked since 2016).

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About Stephanie C Mavis M.d. NPPES

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

STEPHANIE C MAVIS M.D. (NPI 1184032518) is an individual neonatal-perinatal medicine provider in Rochester, Minnesota, licensed in Minnesota (59487) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184032518

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameSTEPHANIE C MAVISCredential: M.D.

Location Address200 1ST ST SWRochester, MN 55905-0001

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511

Phone(507) 284-2511

Sole ProprietorNo

Enumeration DateJuly 29, 2014

Last NPPES UpdateSeptember 30, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2025

✔ NPI 1184032518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in MN · 59487

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 59487 (MN)

200 1ST ST SW, Rochester, MN 55905

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie C Mavis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

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