Samuel Etienne, DR., PA
Physician Assistant (CMS) · Tempe, AZ
At a glance
2145 E Warner Rd Ste 104, Tempe, AZ 85284-3549
NPPES record updated Mar 1, 2023. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
2145 E Warner Rd Ste 104Tempe, AZ 85284-3549
Additional reported practice locations
20860 N Tatum Blvd Ste 290Phoenix, AZ 850504282
Phone: 4805631144
Fax: 4805632371 2919 S Ellsworth Rd Ste 111
Mesa, AZ 852122165
Phone: 4805641185
Fax: 4805904375 15256 N 75Th Ave Ste 360
Peoria, AZ 853814761
Phone: 6234862424
Fax: 6234864324 3130 E Baseline Rd Ste 107
Mesa, AZ 852047290
Phone: 4803451980
Fax: 4809261721 3011 S Lindsay Rd Ste 101
Gilbert, AZ 852954333
Phone: 4807262500
Fax: 4807262131 1277 E Missouri Ave Ste 101
Phoenix, AZ 850142916
Phone: 6022964060
Fax: 6022964146 14239 W Bell Rd Ste 108
Surprise, AZ 853742470
Phone: 6232484283
Fax: 6234404255 270 E Hunt Hwy Ste A-2
San Tan Valley, AZ 851434962
Phone: 4808822222
Fax: 4808822220
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2019
- CMS specialties
- Physician Assistant
Practice groups
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Physician Assistant (CMS)
- Taxonomy code
- 363AM0700X
- Enumeration date
- Mar 30, 2021
- Record updated
- Mar 1, 2023
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- DR., PA
Reported taxonomies and licenses
363AM0700X · Primary
License reported: 8319 AZ
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2145 E Warner Rd Ste 104Tempe, AZ 85284-3549
- Phone
- (480) 664-9443
- Fax
- (480) 664-9378
Mailing address
1839 S ALMA SCHOOL RD STE 354MESA, AZ 852103028
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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