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

Stacy Underwood, NP

Individual provider Clinical Social Worker · NPI 1043325541

Stacy Underwood, NP is a Nurse Practitioner in Mesa, Arizona. Qualified in 2017, 9 years ago. Practices with Connectionsaz LLC, a 39-clinician group and accepts Medicare assignment. Licensed in Arizona and New York.

Years since qualifying
9
Licensed in
AZ, NY
In the registry since
2006
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1255 W Baseline Rd Ste B258
Mesa, AZ 85202-5820
Phone: (480) 820-0825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP3830 (AZ)
Clinical Social Worker Taxonomy 1041C0700X · Licence 074959 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 5 (NY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence F401243-1 (NY)

Record details

NPI number1043325541
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESJuly 9, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Connectionsaz Llc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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