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

Q: 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.

Q: What is Stephanie Mahooty's specialty?

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

Q: When was this NPI record last updated?

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

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: July 19, 2026.

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

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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, Ambetter from Superior HealthPlan, Ambetter of Oklahoma and more.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

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.

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 canâ€™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

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.

DR. RAUL A GATCHALIAN MD

Internal Medicine (Nephrology)