STEPHANIE DEBORAH KOTSUR NP
NPI 1235620170
Nurse Practitioner - Primary Care in Queen Creek, AZ

Q: What is Stephanie Kotsur's NPI number?

The NPI number for Stephanie Kotsur is 1235620170. It was assigned to this individual provider in the NPPES registry on May 26, 2018.

Q: What is Stephanie Kotsur's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Stephanie Kotsur was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 May 26, 2018PECOS Enrolled

21321 E OCOTILLO RD STE 133, QUEEN CREEK, AZ 85142(480) 987-5525(480) 987-5115 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 8, 2022, Jun 27, 2018, May 26, 2018 (3 updates tracked since 2018).

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About Stephanie Deborah Kotsur Np NPPES

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

STEPHANIE DEBORAH KOTSUR NP (NPI 1235620170) is an individual primary care provider in Queen Creek, Arizona, licensed in Arizona (AP11222) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235620170

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameSTEPHANIE DEBORAH KOTSURCredential: NP

Location Address21321 E OCOTILLO RD STE 133Queen Creek, AZ 85142-5995

Mailing Address21321 E Ocotillo Rd Ste 133Queen Creek, AZ 85142-5995 · (480) 987-5525 · Fax (480) 987-5115

Phone(480) 987-5525

Fax(480) 987-5115

Sole ProprietorNo

Enumeration DateMay 26, 2018

Last NPPES UpdateMarch 8, 20223 updates tracked since enumeration

NPPES CertifiedMarch 8, 2022

✔ NPI 1235620170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in AZ · AP11222

Also ListedFamily MedicineTaxonomy 207Q00000X · License AP11222 (AZ)

21321 E OCOTILLO RD STE 133, Queen Creek, AZ 85142

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stephanie Deborah Kotsur Np 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.

Medicare Billing Reassignment

Medicare enrollment records show Stephanie Kotsur reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allied Internal Medicine PLLC

12 mi

Internal Medicine

6644 E BAYWOOD AVE
Mesa, AZ 85206

Reassigned Medicare billing, Arizona enrollment
46 clinicians in this Medicare group

NPI 1124408232 (480) 321-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85142 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers31 claims31 services$15.73 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers31 claims31 services$78.31 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier12 claims12 services$16.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

ERICA MONIQUE SIPE

Nurse Practitioner