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Individual provider Active NPI

Pansy Maureen Harris-Lane, NP

  • Adult Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1063625135
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
224102 Issued in AZ
Practice address
7512 E Clinton St
Scottsdale, AZ 85260-6446
Phone
(973) 731-6253
NPI assigned
May 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TRN34192 FL
Acute Care Nurse Practitioner 363LA2100X 224102 NJ
Acute Care Nurse Practitioner 363LA2100X 224102 AZ
Adult Health Nurse Practitioner 363LA2200X 224102 AZ Primary

Addresses

Primary practice location

7512 E Clinton St
Scottsdale, AZ 85260-6446

Mailing address

7512 E Clinton St
Scottsdale, AZ 85260-6446
Phone (973) 731-6253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221210000561 AZ Practitioner - Nurse Practitioner 0143519371 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aia Hospitalists LLCGroup PAC ID 3375583636, 51 clinicians

Practice addresses (Care Compare)

4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303

6000 S McClintock Dr
Suite B
Tempe, AZ 85283-3266
Phone (973) 731-6253

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TRN34192FLMDInternal Medicine Physician
224102NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aia Hospitalists LLC Internal Medicine CurrentSince Apr 1, 2023 Accepting new patients
Gateway Health Wellness and Aesthetics Acute Care CurrentSince Aug 4, 2024 Accepting new patients
Alante Primary Care W LLC PastSince Dec 15, 2024 Accepting new patients

Locations

825 S 94th St
Chandler, AZ 85224
Phone (480) 361-6636

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

6000 S McClintock Dr
Ste B
Tempe, AZ 85283
Phone (480) 820-6131

6000 S McClintock Dr
Ste Ab
Tempe, AZ 85283
Phone (973) 731-6253

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1063625135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7512 E CLINTON ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606446",
            "telephone_number": "973-731-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7512 E CLINTON ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606446",
            "telephone_number": "973-731-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS-LANE",
        "first_name": "PANSY",
        "middle_name": "MAUREEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN34192",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "224102",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "224102",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "224102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.