Individual provider Active NPI

Allie Kosena, WHNP-BC

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1063226751
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
319398 Issued in AZ
Practice address
11209 N Tatum Blvd Ste 255
Phoenix, AZ 85028-6061
Phone
(602) 468-3912
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 319398 AZ Primary
Registered Nurse 163W00000X 319398 AZ
Nurse Practitioner 363L00000X NUR-APRN-LIC-275163 MT

Addresses

Primary practice location

11209 N Tatum Blvd Ste 255
Phoenix, AZ 85028-6061

Mailing address

32 S Howie St
Helena, MT 59601-6246
Phone (406) 465-3839

Other practice location 1

1211 Echelon Pl Ste A
Helena, MT 59602-7693
Phone (406) 461-0974

Other names 1

  • Allie Roberts Former name

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
I20250409002459 AZ Practitioner - Nurse Practitioner 8325562531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis OB GYN PLLCGroup PAC ID 4284724279, 109 clinicians

Practice addresses (Care Compare)

11209 N Tatum Blvd
Suite 255
Phoenix, AZ 85028-6025
Phone (602) 494-5050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-275163MTMDNurse Practitioner
319398AZMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis OB GYN PLLC CurrentSince Mar 3, 2025 Accepting new patients
Camelback Womens Health, PC CurrentSince Feb 9, 2025 Accepting new patients

Locations

1521 E Tangerine Rd
Ste 361
Oro Valley, AZ 85755
Phone (520) 545-0573

11209 N Tatum Blvd
Ste 255
Phoenix, AZ 85028
Phone (602) 494-5050

4530 N 32nd St
Ste 100
Phoenix, AZ 85018
Phone (602) 468-3912

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/615/brand/1/csg/1/fhir/r4
  • Direct secure messaging: allie.kosena.1@19050.direct.athenahealth.com

Organizations & group practices 2

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": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1063226751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 S HOWIE ST",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596016246",
            "telephone_number": "406-465-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11209 N TATUM BLVD STE 255",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850286061",
            "telephone_number": "602-468-3912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Echelon Pl Ste A",
            "address_purpose": "LOCATION",
            "city": "Helena",
            "state": "MT",
            "postal_code": "596027693",
            "country_code": "US",
            "telephone_number": "406-461-0974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSENA",
        "first_name": "ALLIE",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "319398",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "319398",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MT",
            "license": "NUR-APRN-LIC-275163",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLIE",
            "last_name": "ROBERTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.