Active NPI
Jody L Pelusi, N.P
- Nurse Practitioner
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RN032327
- Practice address
- 10510 N 92ND St
Suite 200
Scottsdale, AZ 85258-4566 - Phone
- (480) 323-1350
- Fax
- (480) 323-1359
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN032327 | AZ | Primary |
Addresses
Primary practice location
10510 N 92ND St
Suite 200
Scottsdale, AZ 85258-4566
Mailing address
2500 W Utopia Rd
Suite100
Phoenix, AZ 85027-4171
Phone (623) 434-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 333310 | 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN032327 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| John C. Lincoln, LLC | Current | Accepting new patients | |
| Honorhealth Medical Group, LLC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Arizona Oncology Services Inc | Past | Accepting new patients |
Locations
6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200
6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348
2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
Organizations & group practices 6
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.
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Primary Care Clinic/Center
- Peoria, AZ
- NPI 1043851793
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1285338343
-
dba John C. Lincoln Glendale Family Medicine
- Family Medicine Physician
- Glendale, AZ
- NPI 1497197677
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1972628675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1053352450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 W UTOPIA RD",
"address_2": "SUITE100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850274171",
"telephone_number": "623-434-6200",
"fax_number": "623-434-6164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10510 N 92ND ST",
"address_2": "SUITE 200",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852584566",
"telephone_number": "480-323-1350",
"fax_number": "480-323-1359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELUSI",
"first_name": "JODY",
"middle_name": "L",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RN032327",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "333310",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.