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

Stephanie Ewalt

Individual provider Physician Assistant · NPI 1215455753

Stephanie Ewalt is a Physician Assistant in Phoenix, Arizona. Qualified in 2017, 9 years ago. Practices with Center for Dermatology PLLC, a 69-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

10240 W Indian School Rd Ste 115
Phoenix, AZ 85037-5905
Phone: (623) 243-9077
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 1890 E Florence Blvd Ste 3, Casa Grande, AZ 85122-5642 — (480) 905-8485
  • 3530 S Val Vista Dr # B109-110, Gilbert, AZ 85297-7318 — (480) 905-8485

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6862 (AZ)

Record details

NPI number1215455753
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2017
Last updated in NPPESMarch 14, 2025
Certification dateMarch 14, 2025
Mailing address1312 W Bartlett Way, Chandler, AZ 85248-5506

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Center For Dermatology Pllc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Phoenix