Individual provider Active NPI

Robert Powell

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1043840283
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11476 Issued in AZ
Practice address
1331 N 7TH St Ste 405
Phoenix, AZ 85006-2754
Phone
(602) 254-3151
Fax
(866) 939-2673
NPI assigned
Jan 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11476 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X

Addresses

Primary practice location

1331 N 7TH St Ste 405
Phoenix, AZ 85006-2754

Mailing address

18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673

Other practice location 1

18444 N 25th Ave Ste 210
Phoenix, AZ 85023-1264
Phone (866) 974-2673

Other practice location 2

10484 W Thunderbird Blvd Ste 100
Sun City, AZ 85351-6019
Phone (866) 974-2673

Other practice location 3

10494 W Thunderbird Blvd Ste 102
Sun City, AZ 85351-6122
Phone (866) 997-4267

Other practice location 4

3420 S Mercy Rd Ste 211
Gilbert, AZ 85297-0424
Phone (602) 254-3151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210814000324 NM Practitioner - Physician Assistant 7810391786 Reassigns benefits to 1 organization
I20260508001937 AZ Practitioner - Physician Assistant 7810391786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1100 Central Ave SE
Albuquerque, NM 87106-4930
Phone (505) 841-1234

201 Cedar St SE
Albuquerque, NM 87106-4920

2200 W 21St St
Clovis, NM 88101-2011
Phone (505) 769-7577

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Presbyterian Espanola Hospital Hospital, Espanola, NM, CCN 320011

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
82.35
Promoting interoperability
100
Improvement activities
40
Cost
76.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince May 1, 2022 Accepting new patients
Presbyterian Healthcare Services CurrentSince May 1, 2022 Accepting new patients
Presbyterian Healthcare Services Past Accepting new patients

Locations

8300 Constitution Ave NE
Albuquerque, NM 87110
Phone (505) 291-2000

201 Cedar St SE
Ste 6630
Albuquerque, NM 87106
Phone (505) 563-6399

8300 Constitution Ave NE
Fl 2
Albuquerque, NM 87110
Phone (505) 291-2770

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

4100 High Resort Blvd SE
Rio Rancho, NM 87124
Phone (505) 291-2770

Interoperability endpoints

  • Direct secure messaging: rpowell205819@direct.phs.org

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1043840283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18444 N 25TH AVE STE 310",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850231266",
            "telephone_number": "866-974-2673",
            "fax_number": "480-499-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N 7TH ST STE 405",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062754",
            "telephone_number": "602-254-3151",
            "fax_number": "866-939-2673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18444 N 25th Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850231264",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10484 W Thunderbird Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853516019",
            "country_code": "US",
            "telephone_number": "866-974-2673",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10494 W Thunderbird Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Sun City",
            "state": "AZ",
            "postal_code": "853516122",
            "country_code": "US",
            "telephone_number": "866-997-4267",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3420 S Mercy Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970424",
            "country_code": "US",
            "telephone_number": "602-254-3151",
            "fax_number": "866-939-2673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-16",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11476",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.