Question 1

What type of a medical provider is Stacey Ann GourdouX?

Accepted Answer

Stacey Ann GourdouX is a Nurse Practitioner (Adult Health).

Question 2

Where does Stacey Ann GourdouX practice medicine?

Accepted Answer

Stacey Ann GourdouX has the following practice address:2550 W UNION HILLS DR STE 390, PHOENIX, AZ 85027-5197

Question 3

Does this provider have a license number?

Accepted Answer

Stacey Ann GourdouX has 2 license numbers, including: License Number AP2224 issued in Arizona.

Question 4

Does Stacey Ann GourdouX accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Stacey Ann GourdouX have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Stacey Ann GourdouX a member of any Medical Groups?

Accepted Answer

Stacey Ann GourdouX is affiliated with one medical group in the PHOENIX area, PULMONARY ASSOCIATES PA.

Question 7

Does Stacey Ann GourdouX participate in PECOS?

Accepted Answer

Yes, Stacey Ann GourdouX participates in PECOS.

Question 8

What phone number can I call to contact Stacey Ann GourdouX?

Accepted Answer

You can call the following number: (602)-443-4068

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Stacey Ann GourdouX.

Question 10

Is Stacey Ann GourdouX  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 2 years ago (6/15/2023).

Type/Issuer	Identifier	State
MEDICAID	332832	AZ
LICENSE	AP2224	AZ

Taxonomy	State	Primary?
Nurse Practitioner (Adult Health) - Taxonomy Code 363LA2200X	AZ	Y
Registered Nurse (General Practice) - Taxonomy Code 163WG0000X	AZ	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20060215000336
PECOS Individual PAC ID:	3971518739
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Stacey Ann GourdouX

Overview