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

Stacey Root, PA-C

Individual provider Surgical Physician Assistant · NPI 1518358894

Stacey Root, PA-C is a Physician Assistant in San Tan Valley, Arizona. Qualified in 2018, 8 years ago. Practices with Orthopedic Specialists of North America PLLC, a 309-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Connecticut.

Years since qualifying
8
Licensed in
AZ, CT
In the registry since
2015
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

40601 N Gantzel Rd Ste 103
San Tan Valley, AZ 85140-7036
Phone: (602) 648-5444
Fax: (602) 772-3801
Show map & directions

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

Additional practice locations (1)

  • 267 Grant St, Bridgeport, CT 06610-2805 — (203) 384-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8913 (AZ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 8913 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 7752 (CT)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 7752 (CT)

Record details

NPI number1518358894
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 9, 2015
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Orthopedic Specialists Of North America Pllc — 309 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Tan Valley