Individual provider Active NPI

Robyn Procyk, NP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1063174464
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
265506 Issued in AZ
Practice address
42104 N Venture Dr Ste D118
Phoenix, AZ 85086-3837
Phone
(623) 505-6565
NPI assigned
Oct 12, 2021
Last updated
Nov 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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 265506 AZ Primary

Addresses

Primary practice location

42104 N Venture Dr Ste D118
Phoenix, AZ 85086-3837

Mailing address

42104 N Venture Dr Ste D118
Phoenix, AZ 85086-3837

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
I20211029000631 AZ Practitioner - Nurse Practitioner 6103214887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alliance Medical Clinic LLCGroup PAC ID 1557374931, 7 clinicians

Practice addresses (Care Compare)

42104 N Venture Dr
Anthem, AZ 85086-3837
Phone (623) 505-6565

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Medical Clinic, LLC Family CurrentSince Dec 1, 2021 Accepting new patients

Locations

2735 W Union Hills Dr
Ste 103
Phoenix, AZ 85027

42104 N Venture Dr
Ste D118
Phoenix, AZ 85086
Phone (623) 505-4479

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8857/brand/1/csg/1/fhir/r4
  • Direct secure messaging: robyn.procyk.1@8857.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1063174464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR STE D118",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42104 N VENTURE DR STE D118",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850863837",
            "telephone_number": "623-505-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROCYK",
        "first_name": "ROBYN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "265506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.