STACEY J GROHALL CPNP
NPI 1497784565
Nurse Practitioner - Pediatrics in Phoenix, AZ

Q: What is Stacey Grohall's NPI number?

The NPI number for Stacey Grohall is 1497784565. It was assigned to this individual provider in the NPPES registry on July 1, 2006.

Q: What is Stacey Grohall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Grohall was last updated on October 26, 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.

Active since July 01, 2006PECOS Enrolled

1919 E THOMAS RD, MAIN BUILDING, PHOENIX, AZ 85016(602) 933-3366(602) 933-4264 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Stacey J Grohall Cpnp NPPES

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

STACEY J GROHALL CPNP (NPI 1497784565) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (AP3818) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497784565

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSTACEY J GROHALLCredential: CPNP

Location Address1919 E THOMAS RD, MAIN BUILDINGPhoenix, AZ 85016-7710

Mailing Address3200 E Camelback Rd Ste 250Phoenix, AZ 85018-2327 · (602) 933-1815

Phone(602) 933-3366

Fax(602) 933-4264

Sole ProprietorNo

Enumeration DateJuly 1, 2006

Last NPPES UpdateOctober 26, 2021

NPPES CertifiedOctober 26, 2021

✔ NPI 1497784565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in AZ · AP3818

1919 E THOMAS RD, Phoenix, AZ 85016

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Other Identifiers 1

Medicaid934209AZ

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey J Grohall Cpnp 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 Stacey Grohall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Phoenix Children's Hospital

Same address

Pediatrics

1919 E THOMAS RD
Phoenix, AZ 85016

Reassigned Medicare billing, Arizona enrollment
1,416 clinicians in this Medicare group

NPI 1922112044 (602) 933-1000

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 85016 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.

DR. TIMUR RAGHIB M.D.

Hospitalist