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STEFANIE M PATRICK FNP-C
NPI 1396264636
Nurse Practitioner - Family in Fort Huachuca, AZ

Active since September 19, 2017PECOS Enrolled
2240 WINROW RD BLDG 45001, FORT HUACHUCA, AZ 85613(520) 533-9033(520) 833-5328 Get Directions Write a Review

NPPES record last updated: October 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 27, 2019, Sep 19, 2017 (2 updates tracked since 2017).

About Stefanie M Patrick Fnp-c NPPES

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

STEFANIE M PATRICK FNP-C (NPI 1396264636) is an individual family provider in Fort Huachuca, Arizona, licensed in Arizona (256196) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396264636
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEFANIE M PATRICKCredential: FNP-C
Location Address2240 WINROW RD BLDG 45001Fort Huachuca, AZ 85613-5080
Mailing Address2240 Winrow Rd Bldg 45001Fort Huachuca, AZ 85613-5080 · (520) 533-9033 · Fax (520) 533-5328
Phone(520) 533-9033
Fax(520) 833-5328
Sole ProprietorNo
Enumeration DateSeptember 19, 2017
Last NPPES UpdateOctober 30, 20212 updates tracked since enumeration
NPPES CertifiedOctober 27, 2021
✔ NPI 1396264636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AZ · 256196✔ Licensed in VA · 0017143899
2240 WINROW RD BLDG 45001, Fort Huachuca, AZ 85613
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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)

Stefanie M Patrick Fnp-c 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 Stefanie Patrick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
1,936 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, Virginia enrollment
  • 1,315 clinicians in this Medicare group
NPI 1013042480 (571) 366-8850

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 85613 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

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

AHC R W BLISS-HUACHUCA
Military/U.S. Coast Guard Pharmacy
2240 WINROW RD BLDG 45001, RAYMOND W. BLISS ARMY HEALTH CENTER
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-2520

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 Stefanie Patrick's NPI number?

The NPI number for Stefanie Patrick is 1396264636. It was assigned to this individual provider in the NPPES registry on September 19, 2017.

Where is Stefanie Patrick located?

Stefanie Patrick practices at 2240 Winrow Rd Bldg 45001, Fort Huachuca, AZ 85613. The listed phone number is (520) 533-9033.

What is Stefanie Patrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Stefanie Patrick enrolled in Medicare?

Yes. Stefanie Patrick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stefanie Patrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stefanie Patrick reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stefanie Patrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stefanie Patrick was last updated on October 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.