STEFAN KHENSOURI PA-C
NPI 1699237743
Physician Assistant in Tucson, AZ

Q: What is Stefan Khensouri's NPI number?

The NPI number for Stefan Khensouri is 1699237743. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Q: What is Stefan Khensouri's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Stefan Khensouri was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 April 05, 2019PECOS EnrolledAccepts Medicare Assignment

2802 E DISTRICT ST, TUCSON, AZ 85714(520) 301-2400 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2025, Apr 23, 2020, Feb 23, 2020 and 4 more (7 updates tracked since 2019).

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About Stefan Khensouri Pa-c NPPES

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

STEFAN KHENSOURI PA-C (NPI 1699237743) is an individual physician assistant in Tucson, Arizona, licensed in Arizona (7620) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1699237743

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameSTEFAN KHENSOURICredential: PA-C

Location Address2802 E DISTRICT STTucson, AZ 85714-2081

Mailing Address2802 E District StTucson, AZ 85714-2081 · (520) 301-2400

Phone(520) 301-2400

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateApril 5, 2019

Last NPPES UpdateJune 10, 20257 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1699237743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in AZ · 7620

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2802 E DISTRICT ST, Tucson, AZ 85714

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stefan Khensouri Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698198794

PECOS Enrollment IDI20200708001834

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

35 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85714 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

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 17

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

HOLLY MARIE HILL MSN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)