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STEPHANIE MARIE POTERACK FNP
NPI 1407225733
Nurse Practitioner - Family in Phoenix, AZ

Active since September 16, 2015PECOS Enrolled
1230 W CAVEDALE DR, PHOENIX, AZ 85085(602) 301-1973 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2023, Jan 26, 2016 (2 updates tracked since 2016).

About Stephanie Marie Poterack Fnp NPPES

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

STEPHANIE MARIE POTERACK FNP (NPI 1407225733) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP8364) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1407225733
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE MARIE POTERACKCredential: FNP
Location Address1230 W CAVEDALE DRPhoenix, AZ 85085-6367
Mailing Address1230 W Cavedale DrPhoenix, AZ 85085-6367 · (602) 301-1973
Phone(602) 301-1973
Sole ProprietorYes
Enumeration DateSeptember 16, 2015
Last NPPES UpdateApril 6, 20232 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
✔ NPI 1407225733 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 · AP8364✔ Licensed in AZ · 144449
1230 W CAVEDALE DR, Phoenix, AZ 85085
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Secondary Practice Location 1

Location 17010 E Chauncey Ln, Suite 225Phoenix, AZ 85054-3111 · Phone (480) 585-5200

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 Marie Poterack Fnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85085 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.

Frequently Asked Questions

What is Stephanie Poterack's NPI number?

The NPI number assigned to this healthcare provider is 1407225733, enumerated as an "individual" on September 16, 2015.

Where is the provider located?

The provider is located at 1230 W CAVEDALE DR PHOENIX, AZ 85085 and the phone number is (602) 301-1973.

What is the provider's specialty?

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.