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

Stephanie Juliet Mahooty, NP

Individual provider Adult Health Nurse Practitioner · NPI 1922399542

Stephanie Juliet Mahooty, NP is a Nurse Practitioner in Mesa, Arizona. Qualified in 2010, 16 years ago. Practices with Salt River Pima-Maricopa Indian Community, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and New Mexico.

Years since qualifying
16
Licensed in
AZ, NM
In the registry since
2011
Specialties on file
3
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

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone: (480) 834-9039
Fax: (480) 964-7802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AP3997 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence R48437 (NM)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence CNP02584 (NM)

Record details

NPI number1922399542
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 30, 2011
Last updated in NPPESSeptember 23, 2024
Certification dateSeptember 23, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Salt River Pima-Maricopa Indian Community — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Other providers in Mesa