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STEPHANIE JULIET MAHOOTY N.P.
NPI 1922399542
Nurse Practitioner - Adult Health in Mesa, AZ

Active since April 30, 2011PECOS EnrolledAccepts Medicare Assignment
612 W BASELINE RD, MESA, AZ 85210(480) 834-9039(480) 964-7802 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2024, Jun 14, 2023 (2 updates tracked since 2023).

About Stephanie Juliet Mahooty N.p. NPPES

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

STEPHANIE JULIET MAHOOTY N.P. (NPI 1922399542) is an individual adult health provider in Mesa, Arizona, licensed in Arizona (AP3997) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, is affiliated with Gallup Indian Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1922399542
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSTEPHANIE JULIET MAHOOTYCredential: N.P.
Location Address612 W BASELINE RDMesa, AZ 85210-6041
Mailing Address612 W Baseline RdMesa, AZ 85210-6041 · (480) 834-9039 · Fax (809) 647-8024
Phone(480) 834-9039
Fax(480) 964-7802
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 30, 2011
Last NPPES UpdateSeptember 23, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1922399542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in AZ · AP3997✔ Licensed in NM · R48437✔ Licensed in NM · CNP02584
612 W BASELINE RD, Mesa, AZ 85210
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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 and Blue Shield of Texas, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stephanie Juliet Mahooty N.p. 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 ID1052598950
PECOS Enrollment IDI20110601000680, I20140207000334
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 Reassignments

5

Medicare enrollment records show Stephanie Mahooty reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Desert Kidney Associates Plc
Same address
Nephrology
612 W BASELINE RD
Mesa, AZ 85210
  • Reassigned Medicare billing, Arizona enrollment
  • 36 clinicians in this Medicare group
NPI 1144372905 (480) 834-9039
Salt River Pima-Maricopa Indian Community
5.9 mi
Community/Behavioral Health
10901 E MCDOWELL RD
Scottsdale, AZ 85256
  • Reassigned Medicare billing, Texas enrollment
  • 147 clinicians in this Medicare group
NPI 1497000293 (480) 278-7742
Gila River Health Care Corporation
8.4 mi
Critical Access
3042 W. QUEEN CREEK ROAD
Chandler, AZ 85286
  • Reassigned Medicare billing, Texas enrollment
  • 482 clinicians in this Medicare group
NPI 1437664182 (602) 528-1200
Dhhs,phs,naihs,gallup Indian Medical Center
230 mi
Skilled Nursing Facility
224 NIZHONI BLVD
Gallup, NM 87301
  • Reassigned Medicare billing, Texas enrollment
  • 618 clinicians in this Medicare group
NPI 1215106935 (505) 722-1000
Kewa Pueblo Health Corporation
347 mi
Federally Qualified Health Center (FQHC)
85 W HIGHWAY 22
Santo Domingo Pueblo, NM 87052
  • Reassigned Medicare billing, Texas enrollment
  • 52 clinicians in this Medicare group
NPI 1467739888 (505) 465-3060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
198 services130 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services37 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
18 services14 patients
Dialysis services, 1 physician visit per month (20 years or older) 90962
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can’t do their job. A physician visit once a month ensures your treatment is working effectively and adjusts it if necessary. This service is available for individuals aged 20 years and older.
15 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gallup Indian Medical Center

Acute Care Hospitals · Gallup, NM
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number320061
Location516 E Nizhoni BlvdGallup, NM 87301 · Mckinley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85210 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.

ERICA THORNE NP
Nurse Practitioner (Family)
612 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 834-9039
MRS. LICEL TUMPAP FNP-C
Nurse Practitioner (Family)
612 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 834-9039
DR. THADDEO CONSUNJI OCONER MD
Internal Medicine (Nephrology)
612 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 834-9039
DR. RAUL A GATCHALIAN MD
Internal Medicine (Nephrology)
612 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 834-9039
DR. PRASHANT KOLAR MD
Internal Medicine (Nephrology)
612 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 834-9039
DESERT KIDNEY ASSOCIATES PLC
Internal Medicine (Nephrology)
612 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 834-9039
RUCHIR SURESHBHAI PATEL M.D.
Internal Medicine (Nephrology)
612 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 834-9039
MARIE NOELLE M RECALDE FNP-C
Nurse Practitioner (Family)
612 W BASELINE RD
MESA, AZ 85210
Maricopa County (480) 834-9039

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 Mahooty's NPI number?

The NPI number for Stephanie Mahooty is 1922399542. It was assigned to this individual provider in the NPPES registry on April 30, 2011.

Where is Stephanie Mahooty located?

Stephanie Mahooty practices at 612 W Baseline Rd, Mesa, AZ 85210. The listed phone number is (480) 834-9039.

What is Stephanie Mahooty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stephanie Mahooty enrolled in Medicare?

Yes. Stephanie Mahooty is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stephanie Mahooty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Mahooty reassigns Medicare benefits to 5 organizations: Desert Kidney Associates Plc (Mesa, AZ), Salt River Pima-Maricopa Indian Community (Scottsdale, AZ), Gila River Health Care Corporation (Chandler, AZ), Dhhs,phs,naihs,gallup Indian Medical Center (Gallup, NM) and Kewa Pueblo Health Corporation (Santo Domingo Pueblo, NM). Each 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 Mahooty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Mahooty accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. and 1 other insurer list Stephanie Mahooty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stephanie Mahooty affiliated with any hospitals?

According to CMS data, Stephanie Mahooty is affiliated with Gallup Indian Medical Center.

When was this NPI record last updated?

The NPPES record for Stephanie Mahooty was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.