Individual provider Active NPI

Hope Elizabeth Pack, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1043812142
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
249394 Issued in AZ
Practice address
9305 W Thomas Rd Ste 305
Phoenix, AZ 85037-3366
Phone
(623) 478-8000
NPI assigned
Nov 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 249394 AZ Primary

Addresses

Primary practice location

9305 W Thomas Rd Ste 305
Phoenix, AZ 85037-3366

Mailing address

101 W Seminole Dr
Phoenix, AZ 85023-5277
Phone (602) 989-2193

Other practice location 1

101 W Seminole Dr
Phoenix, AZ 85023-5277
Phone (602) 989-2193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2025 through Jul 1, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Angelonia, LLC CurrentSince Jul 21, 2024 Accepting new patients
Richard Lee Averitte Jr., PLLC PastSince Mar 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hpack@affderm.emadirect.md

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": "1605139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1043812142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W SEMINOLE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850235277",
            "telephone_number": "602-989-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 W THOMAS RD STE 305",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373366",
            "telephone_number": "623-478-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 W Seminole Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850235277",
            "country_code": "US",
            "telephone_number": "602-989-2193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PACK",
        "first_name": "HOPE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-12",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "249394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.