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Active NPI 1477924082 Individual Practitioner Female Practitioner

Stephanie Wallace , PA-C

Physician Assistant • Tucson, AZ

Professional Overview & Biography Verified Profile Summary

Stephanie Wallace, PA-C is a registered healthcare professional specializing in Physician Assistant in Tucson, AZ. Practice services are available at 1625 N CAMPBELL AVE under active NPI credentials.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1625 N Campbell Ave

Tucson, AZ 857194330

Telephone 5206940111
Associated Practice Facility / Clinic
🏢 Banner Pharmacy Services Llc Facility NPI 1154384899

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Tucson, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
292 Specialists

Practicing in Tucson, AZ (3711 Statewide)

Telehealth Adoption Rate
10.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
63.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
186 58 $153.00 $64.01
99238 Hospital discharge day management, 30 minutes or less
42 35 $154.00 $65.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
29 27 $427.00 $141.04

Medical Specialties & State Licenses

CMS Verified: 2020-01-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License AZ 6214

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Princy John

Pharmacist

NPI 1003557497
Jessica Wright

Pediatrics

NPI 1003652710
Alexandria Taysom , PA

Physician Assistant

NPI 1003656174

Physician Assistant

Dr. Joshua Rockey , MD

Radiology - Diagnostic Radiology

NPI 1013569086

Doctor of Medicine (M.D.)

David Schaub

Radiology - Diagnostic Radiology

NPI 1013764273
Kyndra Urenda , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1013808484

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 20, 2020

Registered at 1625 N CAMPBELL AVE, TUCSON, AZ 857194330 (Tel: 5206940111)

📍
Updated Business Mailing Address January 20, 2020

Registered at 3870 W WILD HORSE PL, TUCSON, AZ 857411906 (Tel: 5203079417)

👤
Provider Name / Credentials Updated January 20, 2020

Recorded as STEPHANIE WALLACE, PA-C

NPI Profile Active October 08, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2015

Registered at 7725 N ORACLE RD, #131, ORO VALLEY, AZ 857046986 (Tel: 5205442273)

📍
Updated Business Mailing Address October 08, 2015

Registered at 7725 N ORACLE RD, #131, ORO VALLEY, AZ 857046986 (Tel: 5205442273)

👤
Provider Name / Credentials Updated October 08, 2015

Recorded as STEPHANIE RUKASIN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2015

Physician Assistant (License #6214 in AZ)

🟢
Initial NPI Registration & Enumeration October 08, 2015

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: 1477924082
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2015
Last Update: January 20, 2020
Sole Proprietor: No

Mailing Address

3870 W Wild Horse Pl

Tucson, AZ 857411906

Phone: 5203079417

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.