Individual provider Active NPI

Suzanne Roberta Weinrich, NP-C

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1053881862
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
219921 Issued in AZ
Practice address
3050 W Agua Fria Fwy Ste 150
Phoenix, AZ 85027-3998
Phone
(602) 802-8388
Fax
(623) 234-4774
NPI assigned
Dec 5, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 219921 AZ
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 219921 AZ Primary

Addresses

Primary practice location

3050 W Agua Fria Fwy Ste 150
Phoenix, AZ 85027-3998

Mailing address

3050 W Agua Fria Fwy Ste 150
Phoenix, AZ 85027-3998
Phone (602) 802-8388

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
I20190404002849 AZ Practitioner - Nurse Practitioner 2860733623 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
Innovative Wound Solutions LLCGroup PAC ID 3072954759, 23 clinicians

Practice addresses (Care Compare)

10210 N 92ND St
Suite 104
Scottsdale, AZ 85258-4531
Phone (480) 493-0900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CHP Care, PC Multi-Specialty Past Accepting new patients

Organizations & group practices 3

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": "1543968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1053881862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 W AGUA FRIA FWY STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273998",
            "telephone_number": "602-802-8388",
            "fax_number": "623-234-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 W AGUA FRIA FWY STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273998",
            "telephone_number": "602-802-8388",
            "fax_number": "623-234-4774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINRICH",
        "first_name": "SUZANNE",
        "middle_name": "ROBERTA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-05",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "219921",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "219921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.