ELISA STEPHENS (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1730483082
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
596 NURSE PRACTITIONER in WY
Provider Addresses for ELISA STEPHENS (NP)
PO BOX 1868
JACKSON, WY 830011868
Phone: (307) 733-2046
Fax: (307) 733-6289
Type: Mailing
640 E BROADWAY AVE
JACKSON, WY 830018642
Phone: (307) 733-2046
Fax: (307) 733-6289
Type: Location
2187 N VICKEY ST
FLAGSTAFF, AZ 860046121
Phone: (928) 527-1899
Fax: (928) 714-6480
Type: Mailing
2695 E INDUSTRIAL DR
FLAGSTAFF, AZ 860046109
Phone: (928) 527-1899
Fax: (928) 714-6480
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $47.
Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.
Last reported payment date: 2023-10-25 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($47).
Total Amount
$47
General + Research + Ownership
Payments
2
Total payment records
General Amount
$47
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Neurocrine BioSciences, Inc. | $47 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-05-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110427000047 | I | Nurse Practitioner | AZ | TBD |
| I20190522002435 | I | Nurse Practitioner | WY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83001)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WY | |
| Mental Health Counselor | WY | |
| Mental Health Counselor | WY | |
| Clinical Social Worker | WY | |
| Mental Health Counselor | WY | |
| Mental Health Counselor | WY | |
| - | WY | |
| Nurse Practitioner | WY | |
| - | WY | |
| Clinical Social Worker | WY |
Reviews
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