Individual provider Active NPI

Alisha Zimmer

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1023476819
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8436 Issued in AZ
Practice address
1520 S Dobson Rd
Suite 209
Mesa, AZ 85202-4725
Phone
(480) 835-6100
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP8436 AZ
Family Nurse Practitioner 363LF0000X AP8436 AZ Primary

Addresses

Primary practice location

1520 S Dobson Rd
Suite 209
Mesa, AZ 85202-4725

Mailing address

6402 E Superstition Springs Blvd Ste 224
Mesa, AZ 85206-4394
Phone (480) 835-6100

Other names 1

  • Alisha Berg Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208000710 AZ Practitioner - Nurse Practitioner 4284914243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6750 E Baywood Ave
Suite 301
Mesa, AZ 85206-1749
Phone (480) 835-6100

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40
Cost
76.03

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8436AZMDFamily Nurse Practitioner
TAP8436AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Cardiology Consultants, PC CurrentSince Nov 1, 2016 Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince Nov 1, 2016 Accepting new patients

Locations

1760 E Pecos Rd
Ste 420
Gilbert, AZ 85295

3530 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 840-9155

2680 S Val Vista Dr
Ste 185
Gilbert, AZ 85295
Phone (480) 427-4305

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100

6750 E Baywood Ave
Ste 506
Mesa, AZ 85206
Phone (408) 668-5000

6402 E Superstition Springs Blvd
Ste 224
Mesa, AZ 85206
Phone (480) 470-3442

1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100

143 S 63rd St
Ste 100
Mesa, AZ 85206
Phone (480) 416-6140

36543 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

8765 E Bell Rd
Ste 110
Scottsdale, AZ 85260

Interoperability endpoints

  • Direct secure messaging: alisha.zimmer.p1@direct.tcc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1023476819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6402 E SUPERSTITION SPRINGS BLVD STE 224",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064394",
            "telephone_number": "480-835-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 S DOBSON RD",
            "address_2": "SUITE 209",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024725",
            "telephone_number": "480-835-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMMER",
        "first_name": "ALISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP8436",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISHA",
            "last_name": "BERG",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.