Doctor profile · Federal record
Dr. Stephanie Pettis, AGPC-NP
Nurse Practitioner · Sierra Vista, AZ
- NPI 1124756218
- Accepts Medicare
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
286 S Lenzner Ave
Sierra Vista, AZ 856355685
(520) 452-0388
fax (877) 281-8622
Credentials & registration
- NPI registered
- August 2022 — 4 yrs on file
- Profile last updated
- December 4, 2025
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 363L00000X — NUCC code
- State license (1)
- Arizona #278553
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124756218. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
236
Distinct HCPCS
3
Medicare allowed
$28,237
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99204 |
New patient office or other outpatient visit, 45-59 minutes | 152 | 152 | $134 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 50 | 50 | $87 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 34 | 28 | $103 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 77. This provider delivers 3.1× the peer median.Open Payments
Industry payments received
All-time total
$215
Transactions
12
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, Inc. | 5 | $87.69 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 2 | $34.94 | |
| AstraZeneca Pharmaceuticals LP | 2 | $31.31 | |
| Merck Sharp & Dohme LLC | 1 | $25.12 | |
| ABBVIE INC. | 1 | $21.02 | |
| Exact Sciences Corporation | 1 | $15.25 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
435
Patients
325
Total drug cost
$9,065
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 159 | 157 | $2,604 |
| Pantoprazole Sodium | Generic | 85 | 41 | $1,825 |
| Famotidine | Generic | 64 | 32 | $1,209 |
| Omeprazole | Generic | 43 | 22 | $732 |
| Peg-3350 And Electrolytes (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 39 | 39 | $656 |
| Sucralfate | Generic | 25 | 14 | $1,384 |
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 20 | 20 | $654 |
Hospital affiliations
Frequently asked questions
What is Dr. Stephanie Pettis's medical specialty?
Dr. Stephanie Pettis practices Nurse Practitioner in Sierra Vista, AZ.
Where does Dr. Stephanie Pettis practice?
Dr. Stephanie Pettis practices at 286 S Lenzner Ave, Sierra Vista, AZ 856355685. Office phone: 5204520388.
What is Dr. Stephanie Pettis's NPI?
Dr. Stephanie Pettis's National Provider Identifier (NPI) is 1124756218, issued by NPPES.
Does Dr. Stephanie Pettis accept Medicare assignment?
Yes. Dr. Stephanie Pettis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stephanie Pettis commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99204); New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.