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
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Practice location Address checks out

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

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