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

MS. Stephanie L Pettis, AGPC-NP

Individual provider Nurse Practitioner · NPI 1124756218

MS. Stephanie L Pettis, AGPC-NP is a Nurse Practitioner in Sierra Vista, Arizona. Qualified in 2021, 5 years ago. Practices with Prescott Healthcare Solutions LLC, a 199-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
5
Licensed in
AZ
In the registry since
2022

Practice location Address checks out

286 S Lenzner Ave
Sierra Vista, AZ 85635-5685
Phone: (520) 452-0388
Fax: (877) 281-8622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 278553 (AZ)

Record details

NPI number1124756218
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPC-NP
Sole proprietorNo
NPI enumeratedAugust 8, 2022
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prescott Healthcare Solutions Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sierra Vista