MISS STEPHANIE ANNE VAN HAM FAMILY NURSE PRACTIT
NPI 1760688212
Nurse Practitioner in Phoenix, AZ
About Miss Stephanie Anne Van Ham Family Nurse Practit NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS STEPHANIE ANNE VAN HAM FAMILY NURSE PRACTIT (NPI 1760688212) is an individual nurse practitioner in Phoenix, Arizona, licensed in Arizona (AP2532) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Miss Stephanie Anne Van Ham Family Nurse Practit is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Stephanie Van Ham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85258
- Reassigned Medicare billing, Arizona enrollment
- 118 clinicians in this Medicare group
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 85004 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHOENIX, AZ 85004
PHOENIX, AZ 85004
PHOENIX, AZ 85004
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 Stephanie Van Ham's NPI number?
The NPI number for Stephanie Van Ham is 1760688212. It was assigned to this individual provider in the NPPES registry on June 22, 2007.
Where is Stephanie Van Ham located?
Stephanie Van Ham practices at 2025 N 3rd St Suite170, Phoenix, AZ 85004. The listed phone number is (602) 462-1132.
What is Stephanie Van Ham's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Stephanie Van Ham enrolled in Medicare?
Yes. Stephanie Van Ham is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Stephanie Van Ham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Van Ham reassigns Medicare benefits to 4C Medical Group Plc (Scottsdale, AZ). 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 Stephanie Van Ham'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 Stephanie Van Ham was last updated on January 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Miss Stephanie Anne Van Ham, FAMILY NURSE PRACTIT · NPI 1760688212
Nurse Practitioner physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since June 22, 2007.
## Identity
- **NPI:** 1760688212 (Entity type: Individual)
- **Enumerated:** June 22, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** AP2532 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2025 N 3RD ST, SUITE170, Phoenix, AZ 85004-1471
- **Phone:** (602) 462-1132
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** 4C Medical Group Plc (NPI 1558654384, Scottsdale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1760688212) · Data from the CMS NPPES public registry.