Individual provider Active NPI

Kelly Bilof, MSN, WHNP-C

  • Women's Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1033428255
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP3755 Issued in AZ
Practice address
20325 N 51St Ave Ste 100
Glendale, AZ 85308-5665
Phone
(602) 848-2520
Fax
(602) 848-2026
NPI assigned
Oct 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP3755 AZ Primary

Addresses

Primary practice location

20325 N 51St Ave Ste 100
Glendale, AZ 85308-5665

Mailing address

20325 N 51St Ave Ste 100
Glendale, AZ 85308-5665
Phone (602) 848-2520

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
I20110629000022 AZ Practitioner - Nurse Practitioner 0749468452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primegyn Womens Center PLLCGroup PAC ID 1052789195, 2 clinicians

Practice addresses (Care Compare)

20325 N 51St Ave
Suite 100
Glendale, AZ 85308-5665
Phone (602) 848-2520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP3755AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smriti Rana, MD, PLLC CurrentSince Mar 2, 2020 Accepting new patients
Primegyn Womens Center PLLC Women'S Health CurrentSince Nov 1, 2022 Accepting new patients
Kelly H. Roy, MD, PC Past Accepting new patients
Abundant Life Enterprises, LLC Past Accepting new patients

Locations

20325 N 51st Ave
Ste 100
Glendale, AZ 85308
Phone (602) 848-2520

5757 W Thunderbird Rd
Ste 300
Glendale, AZ 85306

13943 N 91st Ave
Ste F101
Peoria, AZ 85381
Phone (623) 900-2929

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2541/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/GFBJCD/Endpoint/GFBJCD

Organizations & group practices 4

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": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1033428255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085665",
            "telephone_number": "602-848-2520",
            "fax_number": "602-848-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20325 N 51ST AVE STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085665",
            "telephone_number": "602-848-2520",
            "fax_number": "602-848-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILOF",
        "first_name": "KELLY",
        "credential": "MSN, WHNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "AP3755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.