Alexis Rockenbaugh

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

222309 Issued in AZ

Practice address

13620 N Saguaro Blvd Ste 100
Fountain Hills, AZ 85268-8553

Phone

(480) 385-9896

NPI assigned

Jul 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Phoenician Medical Center IncGroup PAC ID 0547169708, 36 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Phoenician Medical Center, Inc

  • Family Medicine Physician
  • Chandler, AZ
  • NPI 1891895637
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1063250801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13620 N SAGUARO BLVD STE 100",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688553",
            "telephone_number": "480-385-9896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13620 N SAGUARO BLVD STE 100",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852688553",
            "telephone_number": "480-385-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKENBAUGH",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "222309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geno Roman Rivera, P.T.A.
• Cassidy Robbins, COUNSELOR M.ED
• Jaleesa Rene Roberson
• Douglas Robinson, M.D.
• Lorena Robles, COTA/L
• Ramon Rodriguez Jr., M.D.
• Nancy Louise Romanick, R.D.
• Root Physical Therapy, LLC
• Rooted in You LLC
• Joshua Ruiz

• Nurse Practitioner in Fountain Hills, AZ
• Providers in Fountain Hills, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.