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DR. KENNA J STEPHENSON MD
NPI 1962697755
Family Medicine in Prescott, AZ

Active since September 13, 2007PECOS EnrolledAccepts Medicare Assignment
1090 COMMERCE DR, PRESCOTT, AZ 86305(928) 583-1000(866) 323-8458 Get Directions Write a Review

NPPES record last updated: October 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 14, 2023, Jul 26, 2022, Sep 28, 2021 (3 updates tracked since 2021).

About Dr. Kenna J Stephenson Md NPPES

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

DR. KENNA J STEPHENSON MD (NPI 1962697755) is an individual family medicine provider in Prescott, Arizona, licensed in Arizona (27158) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Texas Tech University Health Science Center School Of Medicine (1989).

NPPES Registry Identity

NPI1962697755
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNA J STEPHENSONCredential: MD
Location Address1090 COMMERCE DRPrescott, AZ 86305-3700
Mailing AddressPo Box 188Marana, AZ 85653-0188 · (520) 616-1531 · Fax (520) 616-1536
Phone(928) 583-1000
Fax(866) 323-8458
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1989
Enumeration DateSeptember 13, 2007
Last NPPES UpdateOctober 13, 20253 updates tracked since enumeration
NPPES CertifiedOctober 13, 2025
✔ NPI 1962697755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AZ · 27158✔ Licensed in TX · H8435
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1090 COMMERCE DR, Prescott, AZ 86305
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12945 W Ina Rd Ste 215&221Tucson, AZ 85741-2350 · Phone (520) 616-1531 · Fax (520) 616-1536
Location 23212 N Windsong Dr Ste 200Prescott Valley, AZ 86314-2255 · Phone (928) 583-1000 · Fax (866) 751-4157

Other Identifiers 1

Medicaid137268211TX

Accepted Insurance

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

Dr. Kenna J Stephenson Md 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 ID2860570033
PECOS Enrollment IDI20211013001513
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 Kenna Stephenson reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prescott Medical Investment LLC
0.9 mi
Family Medicine
3124 WILLOW CREEK RD
Prescott, AZ 86301
  • Reassigned Medicare billing, Arizona enrollment
  • 4 clinicians in this Medicare group
NPI 1184408874 (923) 445-7085
Davis Orthopaedics
7.6 mi
Orthopaedic Surgery
3237 N WINDSONG DR
Prescott Valley, AZ 86314
  • Reassigned Medicare billing, Arizona enrollment
  • 7 clinicians in this Medicare group
NPI 1932505674 (928) 772-5320
Northern Arizona Healthcare Corporation
62 mi
Family Medicine
1200 N. BEAVER STREET, ATTN: PAYER CREDENTIALING
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 552 clinicians in this Medicare group
NPI 1669914552 (928) 773-2546
Raghav LLC
67 mi
Multi-Specialty
12361 W BOLA DR, STE 109
Surprise, AZ 85378
  • Reassigned Medicare billing, Arizona enrollment
  • 17 clinicians in this Medicare group
NPI 1598125791 (623) 227-1000
American Medical Center, LLC
Urgent Care
1244 NORTH MARINE CORPS DRIVE
Upper Tumon, GU 96913
  • Reassigned Medicare billing, Guam enrollment
  • 31 clinicians in this Medicare group
NPI 1457329849 (671) 647-8262

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 2

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 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.
33 services19 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86305 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.

MR. GALEN FRANCIS RICHMOND APRN
Nurse Practitioner (Pediatrics)
1090 COMMERCE DR
PRESCOTT, AZ 86305
Yavapai County (928) 583-1000
MRS. SUSAN ELAINE SPEAR N.P.
Nurse Practitioner (Psychiatric/Mental Health)
1090 COMMERCE DR
PRESCOTT, AZ 86305
Yavapai County (928) 583-1000
LOIS KARLEEN ACOSTA IBCLC
Lactation Consultant, Non-RN
1090 COMMERCE DR
PRESCOTT, AZ 86305
Yavapai County (928) 442-5562
NANCY WILCH DUPREE RN
Registered Nurse (Diabetes Educator)
1090 COMMERCE DR
PRESCOTT, AZ 86305
Yavapai County (928) 771-3122
DR. DAVID ANDREW GREEN M.D.
Pediatrics
1090 COMMERCE DR
PRESCOTT, AZ 86305
Yavapai County (928) 583-1000
NICOLE MARTIN PA-C
Physician Assistant
1090 COMMERCE DR
PRESCOTT, AZ 86305
Yavapai County (480) 926-7800
MR. MARK BRANSON LPC
Counselor (Mental Health)
1090 COMMERCE DR
PRESCOTT, AZ 86305
Yavapai County (928) 583-1000
THRESIAMMA S ANTHONY RN, MSN-FNP-C
Nurse Practitioner (Family)
1090 COMMERCE DR
PRESCOTT, AZ 86305
Yavapai County (928) 583-1000

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 Kenna Stephenson's NPI number?

The NPI number for Kenna Stephenson is 1962697755. It was assigned to this individual provider in the NPPES registry on September 13, 2007.

Where is Kenna Stephenson located?

Kenna Stephenson practices at 1090 Commerce Dr, Prescott, AZ 86305. The listed phone number is (928) 583-1000.

What is Kenna Stephenson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenna Stephenson enrolled in Medicare?

Yes. Kenna Stephenson 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 Kenna Stephenson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenna Stephenson reassigns Medicare benefits to 5 organizations: Prescott Medical Investment LLC (Prescott, AZ), Davis Orthopaedics (Prescott Valley, AZ), Northern Arizona Healthcare Corporation (Flagstaff, AZ), Raghav LLC (Surprise, AZ) and American Medical Center, LLC (Upper Tumon, GU). 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 Kenna Stephenson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenna Stephenson accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and UnitedHealthcare list Kenna Stephenson 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.

When was this NPI record last updated?

The NPPES record for Kenna Stephenson was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.