Alissa Bachara, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

TEMP269108 Issued in AZ

Practice address

13943 N 91St Ave Ste F
Peoria, AZ 85381-3689

Phone

(623) 900-2929

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smriti Rana MD PLLCGroup PAC ID 2264614924, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DGFGAD/Endpoint/DGFGAD

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.

• Smriti Rana, MD, PLLC

  • Obstetrics & Gynecology Physician
  • Peoria, AZ
  • NPI 1063717213
  Medicare reassignment Care Compare group NPD
• Bradley K Becker, PC

  • Plastic and Reconstructive Surgery Physician
  • Glendale, AZ
  • NPI 1255519260
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1013674738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE F101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813689",
            "telephone_number": "623-900-2929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE STE F",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813689",
            "telephone_number": "623-900-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHARA",
        "first_name": "ALISSA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "AZ",
            "license": "RN151176",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TEMP269108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ali Azadi, M.D.
• Azgupllc
• Elena Babetz
• Austin Gregory Babineau, PHARMD
• Maddison Baca, RN, CPM
• Back to Health of Vistancia
• Joshua James Backens, PMHNP
• Sharon Bader, DDS
• Terry L Bagley, M.D.
• John H Bailey, DDS

• Family Nurse Practitioner in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.