Individual provider Active NPI

Sarabeth Roberto Pavelka, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1043791577
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11694 Issued in AZ
Practice address
3003 N 3Rd St
Phoenix, AZ 85012-3031
Phone
(800) 233-3264
NPI assigned
Aug 23, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11694 AZ Primary

Addresses

Primary practice location

3003 N 3Rd St
Phoenix, AZ 85012-3031

Mailing address

25500 N Norterra Dr
Phoenix, AZ 85085-8200
Phone (623) 277-2370

Other identifiers 1

IdentifierTypeStateIssuer
432848MedicaidAZ

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
I20190117001406 AZ Practitioner - Nurse Practitioner 5395098032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Pain Specialists PLLCGroup PAC ID 2668536418, 40 clinicians

Practice addresses (Care Compare)

18555 N 79TH Ave
Suite D101
Glendale, AZ 85308-6040
Phone (480) 563-6400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11694AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Pain Specialists, PLLC CurrentSince Dec 11, 2025 Accepting new patients
Arizona Pain Specialists, PLLC CurrentSince Dec 11, 2025 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc CurrentSince May 10, 2021 Accepting new patients
Cigna Healthcare of Arizona, Inc. Current Accepting new patients
Cigna Healthcare of Arizona, Inc. CurrentSince May 10, 2021 Accepting new patients
Cigna Health Care of Arizona Inc. Current Accepting new patients
Physical Medicine of Chandler LLC PastSince May 1, 2020 Accepting new patients

Locations

3624 W Anthem Way
Ste C108
Anthem, AZ 85086
Phone (623) 551-9950

2905 W Warner Rd
Ste 19
Chandler, AZ 85224
Phone (480) 899-2101

1055 W Queen Creek Rd
Ste 3
Chandler, AZ 85248
Phone (480) 485-9963

875 N Greenfield Rd
Ste 101
Gilbert, AZ 85234
Phone (480) 664-7463

18555 N 79th Ave
Ste D101
Glendale, AZ 85308
Phone (480) 245-6169

9069 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 876-2800

7558 W Thunderbird Rd
Ste 4B
Peoria, AZ 85381
Phone (623) 412-2241

21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300

20255 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 225-7154

7600 N 15th St
Ste 185
Phoenix, AZ 85020
Phone (602) 678-3131

1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000

3001 E Camelback Rd
Ste 155
Phoenix, AZ 85016
Phone (602) 234-2611

3003 N 3rd St
Phoenix, AZ 85012
Phone (602) 282-9800

25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400

2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500

8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260

9787 N 91st St
Ste 101
Scottsdale, AZ 85258
Phone (480) 845-0334

13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800

Interoperability endpoints

  • Direct secure messaging: spavelka27582@evernorth.direct-ci.com

Organizations & group practices 8

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": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1043791577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N NORTERRA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858200",
            "telephone_number": "623-277-2370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850123031",
            "telephone_number": "800-233-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVELKA",
        "first_name": "SARABETH",
        "middle_name": "ROBERTO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432848",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.