Sara Beth Pirness, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

C-APN.0003323-C-APN Issued in CO

Practice address

4848 E Cactus Rd Ste 505
Scottsdale, AZ 85254-4182

Phone

(480) 382-4152

NPI assigned

Nov 17, 2019

Last updated

Feb 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ponderosa Family Care LLCGroup PAC ID 1456548015, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEIBDA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ponderosa Family Care, LLC

  • Internal Medicine Physician
  • Payson, AZ
  • NPI 1144535626
  Medicare reassignment Care Compare group NPD
• Ponderosa Family Care, LLC

  • Rural Health Clinic/Center
  • Payson, AZ
  • NPI 1992321723
  NPD
• Focused Family Services LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1679901136
  NPD (past)

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1063057743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD",
            "address_2": "STE 505 #868",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548116",
            "telephone_number": "480-382-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4848 E CACTUS RD STE 505",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544182",
            "telephone_number": "480-382-4152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7318 W Bluefield Ave",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853088116",
            "country_code": "US",
            "telephone_number": "832-258-2824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Barnes Ave",
            "address_purpose": "LOCATION",
            "city": "LA Junta",
            "state": "CO",
            "postal_code": "810502138",
            "country_code": "US",
            "telephone_number": "719-384-5446 x338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIRNESS",
        "first_name": "SARA",
        "middle_name": "BETH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-17",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "249461",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0003323-C-APN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000198086",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lchavez@shgco.org",
            "affiliation": "Y",
            "affiliationName": "Southeast Mental Health Services",
            "address_1": "711 Barnes Ave",
            "city": "LA Junta",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810502138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lchavez@shgco.org",
            "affiliation": "Y",
            "affiliationName": "Southeast Wellness Works LLC",
            "address_1": "711 Barnes Ave",
            "city": "LA Junta",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810502138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Marie Pipes
• Amanda E Pipkin, DPT, SCS
• June Marie Piposar, RPH
• Shaghayegh Pirasteh, PHARMD
• Josie Pirie, FNP
• Kelly Pirozzi, D.P.M.
• Sheida Pisheh
• Shannon Lyn Pitcock
• Nicholas R Pitha, MD
• Tina Homer Pithawalla, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.

Verify at the official NPI Registry.