Active NPI
Patrishia Bogan, PMHNP
- Health & Wellness Coach
- Peoria, AZ
National Provider Identifier
1003683350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- License
- RN207963
- Practice address
- 9250 W Lone Cactus Dr
Peoria, AZ 85382-8329 - Phone
- (480) 702-8222
- NPI assigned
- Dec 7, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | RN207963 | AZ | Primary |
Addresses
Primary practice location
9250 W Lone Cactus Dr
Peoria, AZ 85382-8329
Mailing address
29520 N 113TH LN
Peoria, AZ 85383-4569
Phone (480) 828-8551
Other names 1
- Patrishia Elyzze Bogan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260302000451 | AZ | Order and Referring Only - Nurse Practitioner | 8123500089 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN207963 | AZ | MD | Health & Wellness Coach |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilient Solutions Counseling and Consulting Services LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Peoria, AZ
- NPI 1619740222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749081600000",
"number": "1003683350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29520 N 113TH LN",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853834569",
"telephone_number": "480-828-8551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9250 W LONE CACTUS DR",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853828329",
"telephone_number": "480-702-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGAN",
"first_name": "PATRISHIA",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-07",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": "AZ",
"license": "RN207963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATRISHIA",
"last_name": "BOGAN",
"middle_name": "ELYZZE",
"credential": "PMHNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.