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

Stacy Marie Cantwell

Individual provider Adult Health Nurse Practitioner · NPI 1164760245

Stacy Marie Cantwell is a Nurse Practitioner in Chandler, Arizona. Graduated from Indiana Medical College, School of Medicine of Purdue University in 2012, 14 years ago. Practices with Chandler Regional Medical Center, a 52-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
14
Trained at
Indiana Medical College, School of Medicine of Purdue University
Licensed in
AZ, CA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

485 S Dobson Rd Ste 201
Chandler, AZ 85224-5604
Phone: (480) 728-4728
Fax: (480) 728-4747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1955 W Frye Rd, Chandler, AZ 85224-6282 — (480) 728-4700

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP8669 (AZ)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 22570 (CA)

Record details

NPI number1164760245
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 23, 2013
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolINDIANA MEDICAL COLLEGE, SCHOOL OF MEDICINE OF PURDUE UNIVERSITY
Graduated 2012 (14 years in practice)
Group practice Chandler Regional Medical Center — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Chandler