Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Stacie Lyn Patterson, PA

Individual provider Medical Physician Assistant · NPI 1053430876

MS. Stacie Lyn Patterson, PA is a Physician Assistant in Goodyear, Arizona. Qualified in 2004, 22 years ago. Practices with Honorhealth Ambulatory, a 625-clinician group and accepts Medicare assignment. Licensed in Arizona and Michigan.

Years since qualifying
22
Licensed in
AZ, MI
In the registry since
2007
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

13677 W Mc Dowell Road 201
Goodyear, AZ 85395
Phone: (623) 882-1926
Fax: (623) 882-1709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence AZ 5154 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601004376 (MI)

Record details

NPI number1053430876
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESJuly 2, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Honorhealth Ambulatory — 625 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Goodyear