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

Holly Dae Stewart

Individual provider Physician Assistant · NPI 1144878588

Holly Dae Stewart is a Physician Assistant in Prescott, Arizona. Qualified in 2021, 5 years ago. Practices with Judah D Pifer MD PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

3655 Crossings Dr
Prescott, AZ 86305-7101
Phone: (928) 778-9250
Fax: (928) 778-2306
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 8762 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 8762 (AZ)

Record details

NPI number1144878588
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 28, 2019
Last updated in NPPESNovember 16, 2022
Certification dateNovember 16, 2022
Mailing address3655 Crossings Dr, Prescott, AZ 86305-7101

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 Judah D Pifer Md Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Prescott