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

Stephanie Ellis, CRNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1992351209

Stephanie Ellis, CRNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices with District Medical Group Inc, a 450-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona and Pennsylvania.

Years since qualifying
7
Licensed in
AZ, PA
In the registry since
2019
Specialties on file
2
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

5102 W Campbell Ave
Phoenix, AZ 85031-1703
Phone: (602) 655-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 110 Hidden Valley Rd, Mc Murray, PA 15317-2685 — (724) 941-4070
  • 1051 Country Club Rd, Monongahela, PA 15063-1553 — (724) 258-8014
  • 640 Jefferson Ave, Washington, PA 15301-4119 — (724) 222-6603

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 24866 (AZ)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence SP020669 (PA)

Record details

NPI number1992351209
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 13, 2019
Last updated in NPPESDecember 21, 2020
Certification dateDecember 21, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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