Active NPI
Sarabeth Roberto Pavelka, FNP-C
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP11694
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432848 | Medicaid | AZ |
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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP11694 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Pain Specialists, PLLC | Current | Accepting new patients | |
| Arizona Pain Specialists, PLLC | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Physical Medicine of Chandler LLC | Past | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1700030939
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1245338235
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1942371679
-
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1518415397
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1073626404
-
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1730417676
-
- Pain Medicine (Anesthesiology) Physician
- Denver, CO
- NPI 1245682970
-
- General Practice Physician
- Chandler, AZ
- NPI 1801410535
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.