Mandy Neblett, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

FNP Issued in AZ

Practice address

5501 N 19TH Ave Ste 103
Phoenix, AZ 85015-2451

Phone

(602) 589-0500

Fax

(602) 314-4552

NPI assigned

Nov 28, 2011

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, OH2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sun Pain Management PLLCGroup PAC ID 6800986340, 10 clinicians

Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mandy.neblett.1@29290.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/DJIBDA
• FHIR API: https://fhir4.healow.com/fhir/r4/DJIBDA/Endpoint/DJIBDA

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.

• Sun Pain Management, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
  • NPI 1427230788
  Medicare reassignment Care Compare group NPD
• Boulder Care Provider Group PA

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1649838590

  OH

  Medicare reassignment Care Compare group
• Pophealthcare Medical Services of Az, PC

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1760884175
  Medicare reassignment NPD
• Desert Pain and Rehab Specialists, PLLC

  • Durable Medical Equipment & Medical Supplies
  • Sierra Vista, AZ
  • NPI 1144712191
  NPD
• Pophealthcare Medical Services of Az, PC

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1417652454
  NPD
• Integrity Pain and Anesthesia PLLC

  • Pain Medicine Physician
  • Scottsdale, AZ
  • NPI 1386049070
  NPD (past)

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

• Yavapai Community Hospital Association

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1063789568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152451",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 N 19TH AVE STE 103",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152451",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12361 W Bola Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853789021",
            "country_code": "US",
            "telephone_number": "602-446-3300",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEBLETT",
        "first_name": "MANDY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-28",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "FNP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "676890",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nebco Associates
• Nebco Associates, Inc.
• Heidi Nebeker, MA, CCC-SLP
• Tori Anna Nebeker, LMSW
• Jeffrey A Nebelsieck, MD
• Micaela Nece, LPC
• Claire Frances Nechiporenko, M.D.
• Neckup Checkup
• Meghan Nedic, MD
• Robin W Needham, CRNA

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.