Active NPI 1881149219 Individual Practitioner Female Practitioner

Stephanie Pasley , NP

Nurse Practitioner • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stephanie Pasley, NP is a certified Nurse Practitioner practicing in Phoenix, AZ. With approximately 10 years of clinical experience since completing medical education in 2016, Stephanie Pasley delivers high-quality medical care to the local community at 4045 E BELL RD STE 125.

Stephanie Pasley is affiliated with Alliance Dermatology And Mohs Center Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include aminolevulinic acid hcl for topical administration, 10% gel, 10 mg, destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4045 E Bell Rd Ste 125

Phoenix, AZ 850322238

Telephone 6029710268

Fax 6029711556

Associated Practice Facility / Clinic

🏢 Alliance Dermatology & Mohs Center, Pc Facility NPI 1891702957

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Phoenix, AZ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs +0.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 8.9 Yrs

Regional Practice Density

337 Specialists

Practicing in Phoenix, AZ (1459 Statewide)

Telehealth Adoption Rate

14.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pasley (10 Years) 10 Yrs

Phoenix Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	67,800	155	$2.00	$1.67
17003 Destruction of precancer skin growth, 2-14 growths	5,211	687	$10.00	$5.40
99213 Established patient office or other outpatient visit, typically 15 minutes	2,130	1,122	$125.00	$74.52
17000 Destruction of skin growth	1,398	841	$97.83	$40.82
11102 Tangential biopsy of single skin lesion	831	657	$140.00	$71.60
17110 Destruction of up to 14 skin growths	621	422	$170.00	$90.03
96573 Application of light by qualified health care professional to destroy precancer skin growth	335	155	$310.00	$183.63
11103 Biopsy of related skin growth, each additional growth	327	235	$70.00	$40.96
17004 Destruction of precancer skin growth, 15 or more growths	228	167	$230.00	$136.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	197	197	$155.00	$91.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	162	123	$175.00	$103.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	76	$80.00	$46.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	68	62	$325.00	$100.29
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	59	22	$3.00	$1.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	52	16	$24.33	$11.75
17111 Destruction of skin growth, 15 or more growths	51	40	$160.00	$107.04
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	49	44	$570.00	$343.46
69100 Biopsy of ear	49	44	$130.00	$55.00
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	40	38	$560.00	$324.12
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	27	22	$200.00	$115.25
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	19	$240.00	$136.33
11900 Injection into skin growth, 1-7 growths	21	15	$85.00	$33.61
11104 Punch biopsy, first skin growth	20	20	$175.00	$102.18
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	17	15	$165.00	$87.60
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	14	14	$370.00	$113.89
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	11	11	$350.00	$214.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	58,800	144	$2.00	$1.63
17003 Destruction of precancer skin growth, 2-14 growths	4,588	623	$9.89	$5.59
99213 Established patient office or other outpatient visit, typically 15 minutes	1,782	960	$124.08	$75.49
17000 Destruction of skin growth	1,189	755	$100.44	$40.70
11102 Tangential biopsy of single skin lesion	720	565	$138.81	$73.90
17110 Destruction of up to 14 skin growths	565	401	$150.06	$92.87
11103 Biopsy of related skin growth, each additional growth	334	216	$69.49	$42.27
96573 Application of light by qualified health care professional to destroy precancer skin growth	291	144	$307.39	$192.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	290	290	$152.57	$93.69
17004 Destruction of precancer skin growth, 15 or more growths	197	154	$228.17	$141.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	98	37	$2.78	$1.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	84	$174.43	$106.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	73	$78.23	$47.25
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	69	64	$324.13	$102.86
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	51	46	$569.22	$358.23
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	44	41	$236.14	$148.50
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	42	42	$560.00	$330.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	20	$20.00	$11.83
17111 Destruction of skin growth, 15 or more growths	40	32	$160.50	$111.36
69100 Biopsy of ear	36	33	$127.78	$50.73
11900 Injection into skin growth, 1-7 growths	31	20	$83.71	$34.77
11104 Punch biopsy, first skin growth	23	23	$174.35	$105.66
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	22	22	$228.64	$75.49
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	17	$370.00	$117.32
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	18	17	$403.33	$255.59
11200 Removal of skin tag, 1-15 skin tags	15	15	$119.33	$53.72
11105 Punch biopsy, each additional skin growth	14	14	$79.64	$49.79
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	12	12	$348.33	$221.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,800	17	$2.00	$1.59
17003 Destruction of precancer skin growth, 2-14 growths	1,641	302	$11.31	$5.59
99213 Established patient office or other outpatient visit, typically 15 minutes	560	461	$161.38	$75.32
17000 Destruction of skin growth	449	385	$118.36	$40.42
11102 Tangential biopsy of single skin lesion	282	274	$181.72	$76.18
17110 Destruction of up to 14 skin growths	214	182	$200.92	$93.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	154	154	$188.30	$93.01
11103 Biopsy of related skin growth, each additional growth	136	100	$88.48	$42.49
17004 Destruction of precancer skin growth, 15 or more growths	61	52	$285.59	$140.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	40	$97.61	$46.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	28	$234.68	$106.18
96573 Application of light by qualified health care professional to destroy precancer skin growth	24	17	$290.00	$192.49
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	22	21	$345.03	$145.66
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	18	$405.54	$101.79
69100 Biopsy of ear	13	13	$157.25	$65.09
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	12	12	$401.02	$251.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,224	489	$20.46	$5.30
99213 Established patient office or other outpatient visit, typically 15 minutes	1,001	757	$292.94	$75.83
17000 Destruction of skin growth	778	580	$213.07	$43.12
11102 Tangential biopsy of single skin lesion	427	397	$319.87	$75.30
11103 Biopsy of related skin growth, each additional growth	264	164	$164.88	$43.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	217	217	$277.56	$93.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	194	181	$162.22	$46.69
17004 Destruction of precancer skin growth, 15 or more growths	184	152	$468.49	$136.78
17110 Destruction of up to 14 skin growths	183	147	$313.90	$89.82
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	80	65	$1243.38	$352.51
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	68	62	$1240.35	$333.47
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	67	61	$711.38	$106.45
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	64	57	$309.44	$86.33
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	41	34	$257.13	$51.04
17111 Destruction of skin growth, 15 or more growths	41	35	$372.55	$109.21
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	34	31	$802.19	$121.16
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	30	26	$624.46	$74.14
69100 Biopsy of ear	28	27	$278.92	$60.51
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	27	25	$379.80	$114.92
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	25	23	$1294.07	$401.84
11104 Punch biopsy, first skin growth	24	24	$403.76	$107.56
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$261.52	$60.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,520	559	$22.95	$4.82
99213 Established patient office or other outpatient visit, typically 15 minutes	1,302	931	$293.67	$62.07
17000 Destruction of skin growth	947	680	$254.24	$42.39
11102 Tangential biopsy of single skin lesion	624	531	$386.58	$77.14
11103 Biopsy of related skin growth, each additional growth	382	234	$206.20	$42.49
17004 Destruction of precancer skin growth, 15 or more growths	203	158	$527.32	$130.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	202	167	$176.93	$37.49
99202 New patient office or other outpatient visit, typically 20 minutes	171	171	$297.64	$63.10
17110 Destruction of up to 14 skin growths	141	100	$430.66	$88.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	130	25	$31.04	$1.48
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	56	50	$1566.57	$332.07
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	42	37	$965.57	$107.24
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	36	33	$1683.32	$356.86
11104 Punch biopsy, first skin growth	35	34	$485.36	$102.88
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	34	30	$663.76	$72.35
69100 Biopsy of ear	28	27	$382.09	$59.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	28	22	$55.26	$11.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	17	$426.66	$90.43
17111 Destruction of skin growth, 15 or more growths	23	19	$507.12	$107.43
11200 Removal of skin tag, 1-15 skin tags	14	14	$346.80	$47.17
11105 Punch biopsy, each additional skin growth	14	14	$234.74	$49.69
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	14	14	$470.48	$96.46
10040 Acne surgery	14	11	$425.43	$80.61
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	11	11	$544.40	$110.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	3,742	572	$22.08	$4.60
99213 Established patient office or other outpatient visit, typically 15 minutes	1,328	930	$291.12	$60.81
17000 Destruction of skin growth	1,016	734	$255.56	$42.97
11102 Tangential biopsy of single skin lesion	679	596	$382.40	$74.27
99202 New patient office or other outpatient visit, typically 20 minutes	401	401	$298.59	$62.35
11103 Biopsy of related skin growth, each additional growth	351	234	$206.56	$42.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	297	257	$175.25	$36.76
17004 Destruction of precancer skin growth, 15 or more growths	177	131	$542.23	$124.14
17110 Destruction of up to 14 skin growths	141	118	$426.60	$86.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	96	21	$28.10	$1.59
11104 Punch biopsy, first skin growth	72	68	$480.60	$99.96
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	44	42	$1571.48	$328.66
11105 Punch biopsy, each additional skin growth	44	39	$242.35	$49.57
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	41	35	$465.92	$81.81
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	38	31	$975.96	$107.41
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	34	31	$1695.48	$354.67
17111 Destruction of skin growth, 15 or more growths	32	30	$508.24	$103.19
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	29	28	$659.76	$73.74
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	28	27	$545.76	$112.24
69100 Biopsy of ear	24	23	$383.64	$75.36
10040 Acne surgery	23	17	$425.40	$80.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	20	18	$64.68	$13.54
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	20	17	$692.32	$123.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	17	$427.08	$89.52
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	16	13	$757.00	$143.61
11312 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$621.92	$130.69
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	11	$530.48	$86.99
11307 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$562.12	$103.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,429	351	$10.43	$4.30
99213 Established patient office or other outpatient visit, typically 15 minutes	723	543	$159.05	$59.70
17000 Destruction of skin growth	645	477	$129.68	$43.92
11100 Biopsy of single growth of skin and/or tissue	478	425	$220.68	$77.42
99202 New patient office or other outpatient visit, typically 20 minutes	424	424	$141.94	$61.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	273	229	$83.90	$35.76
11101 Biopsy of each additional growth of skin and/or tissue	252	168	$71.88	$27.09
17004 Destruction of precancer skin growth, 15 or more growths	158	110	$259.19	$118.64
17110 Destruction of up to 14 skin growths	128	117	$248.56	$86.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	111	25	$34.76	$1.78
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	64	57	$166.97	$87.70
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	37	33	$974.00	$324.92
11200 Removal of skin tag, 1-15 skin tags	36	36	$177.06	$50.75
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	30	30	$167.85	$87.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$132.15	$88.70
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	26	25	$695.65	$351.31
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	23	20	$351.01	$68.63
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	21	$37.45	$16.56
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	23	22	$385.89	$115.43
69100 Biopsy of ear	20	20	$248.55	$70.06
17111 Destruction of skin growth, 15 or more growths	18	14	$330.89	$107.64
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	16	14	$395.35	$108.51
11306 Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	15	13	$204.37	$86.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$122.19	$89.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	168	36	$6.31	$4.60
17000 Destruction of skin growth	43	41	$74.51	$39.07
11100 Biopsy of single growth of skin and/or tissue	33	33	$114.84	$67.07
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$83.94	$61.05
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$82.06	$59.69
11101 Biopsy of each additional growth of skin and/or tissue	20	14	$37.32	$27.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$48.62	$35.36
17004 Destruction of precancer skin growth, 15 or more growths	16	16	$168.05	$122.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$122.06	$88.87

Medical Specialties & State Licenses

CMS Verified: 2023-10-11

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License AZ 235816

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209014685

Hospital & Practice Group Affiliations

Alliance Dermatology And Mohs Center Pc

313 S Beeline Hwy, Payson, AZ 855414814

Phone: 9284727107

Secondary Practice Locations

715 S Beeline Hwy

Payson, AZ 855415320

Phone: 9284686607

313 S Beeline Hwy

Payson, AZ 855414814

Phone: 9284727107

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Richard Bottiglione , MD

Dermatology

NPI 1083621148

Doctor of Medicine (M.D.)

Sara Hartman , PA-C

Physician Assistant

NPI 1629247796

Physician Assistant (Certified)

Jessica Rubel , PA-C

Physician Assistant

NPI 1649897810

Physician Assistant (Certified)

Dr. Sadra Jazayeri , MD

Dermatology

NPI 1700893864

Doctor of Medicine (M.D.)

Elyse Broucek

Physician Assistant

NPI 1770180960

Holly Nichols , NP

Nurse Practitioner

NPI 1780650036

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events

📍

Updated Practice Location October 30, 2023

Registered at 4045 E BELL RD STE 125, PHOENIX, AZ 850322238 (Tel: 6029710268)

📍

Updated Business Mailing Address October 30, 2023

Registered at 4045 E BELL RD STE 125, PHOENIX, AZ 850322238 (Tel: 6029710268)

👤

Provider Name / Credentials Updated October 30, 2023

Recorded as STEPHANIE PASLEY, NP

📍

Updated Practice Location September 27, 2021

Registered at 9500 E IRONWOOD SQUARE DR STE 110, SCOTTSDALE, AZ 852584582 (Tel: 4809488400)

📍

Updated Business Mailing Address September 27, 2021

Registered at 9500 E IRONWOOD SQUARE DR STE 110, SCOTTSDALE, AZ 852584582 (Tel: 4809488400)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2021

Nurse Practitioner (License #209014685 in IL)

📍

Updated Practice Location August 12, 2021

Registered at 2585 MIRACLE MILE STE 120, BULLHEAD CITY, AZ 864427562 (Tel: 9285142231)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2021

Nurse Practitioner (License #235816 in AZ)

✅

NPI Profile Active April 20, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 20, 2017

Registered at 1932 S MAIN ST, EUREKA, IL 615301666 (Tel: 3094675000)

📍

Updated Business Mailing Address April 20, 2017

Registered at 1932 S MAIN ST, EUREKA, IL 615301666 (Tel: 3094675000)

👤

Provider Name / Credentials Updated April 20, 2017

Recorded as STEPHANIE PASLEY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2017

Nurse Practitioner (License #209014685 in IL)

✅

NPI Profile Active August 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 15, 2016

Registered at 900 MAIN ST STE 630, PEORIA, IL 616025024 (Tel: 3096724433)

📍

Updated Business Mailing Address August 15, 2016

Registered at 900 MAIN ST STE 630, PEORIA, IL 616025024 (Tel: 3096724433)

👤

Provider Name / Credentials Updated August 15, 2016

Recorded as STEPHANIE PASLEY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2016

Nurse Practitioner (License #209014685 in IL)

🟢

Initial NPI Registration & Enumeration August 15, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1881149219

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 15, 2016

Last Update: October 30, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

4045 E Bell Rd Ste 125

Phoenix, AZ 850322238

Phone: 6029710268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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