Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Renae Stockman, PA

Individual provider Physician Assistant · NPI 1427797604

Carly Renae Stockman, PA is a Physician Assistant in Tucson, Arizona. Qualified in 2021, 5 years ago. Practices with Northwest Urgent Care LLC, a 71-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone: (520) 873-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9354 (AZ)
Hospitalist Physician Taxonomy 208M00000X · Licence 9354 (AZ)

Record details

NPI number1427797604
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJune 3, 2022
Last updated in NPPESMay 14, 2026
Certification dateMay 14, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Northwest Urgent Care Llc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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