Individual provider Active NPI

Pamela Fazekas

  • Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1063964658
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP8989 Issued in AZ
Practice address
10404 W Coggins Dr Ste 110
Sun City, AZ 85351-3465
Phone
(715) 495-0404
NPI assigned
Oct 29, 2016
Last updated
Jun 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP8989 AZ Primary

Addresses

Primary practice location

10404 W Coggins Dr Ste 110
Sun City, AZ 85351-3465

Mailing address

3201 W Feather Sound Dr
Anthem, AZ 85086-1007
Phone (623) 399-0023

Other practice location 1

3201 W Feather Sound Dr
Anthem, AZ 85086-1007
Phone (623) 399-0023

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
I20180302000849 AZ Practitioner - Nurse Practitioner 4880955020 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ms Physicians Group PCGroup PAC ID 8820237472, 5 clinicians

Practice addresses (Care Compare)

13000 N 103Rd Ave
Suite 60
Sun City, AZ 85351-3056
Phone (623) 594-4126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service Current Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2019 Accepting new patients
Aim Healthcare Providers, LLC CurrentSince Sep 20, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Jan 1, 2019 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince May 1, 2023 Accepting new patients
Emergency Group of Arizona Professional Corporation Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Sep 1, 2024 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Jewish Family & Children's Service CurrentSince Feb 1, 2019 Accepting new patients
Jewish Family & Children's Service CurrentSince Feb 1, 2019 Accepting new patients
Progressive Pain Management Inc CurrentSince Sep 1, 2024 Accepting new patients
Ms Physicians Group, PC CurrentSince Jul 22, 2024 Accepting new patients
Michael F Esber DPM PC CurrentSince Sep 1, 2024 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Sep 1, 2024 Accepting new patients
Hope Diabetes Center, LLC Past Accepting new patients
District Medical Group, Inc Past Accepting new patients

Locations

1653 E McMurray Blvd
Ste 141
Casa Grande, AZ 85122
Phone (520) 233-6502

1653 E McMurray Blvd
Ste 144
Casa Grande, AZ 85122
Phone (520) 836-8644

5227 E Carefree Hwy
Cave Creek, AZ 85331
Phone (602) 824-3900

161 E Rivulon Blvd
Ste 210
Gilbert, AZ 85297
Phone (480) 244-1724

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621

6036 N 19th Ave
Ste 502
Phoenix, AZ 85015
Phone (602) 529-5884

9150 W Indian School Rd
Ste 118
Phoenix, AZ 85037
Phone (623) 247-5700

6908 E Thomas Rd
Scottsdale, AZ 85251
Phone (702) 929-4299

13000 N 103rd Ave
Ste 59
Sun City, AZ 85351
Phone (623) 594-4126

13000 N 103rd Ave
Ste 60
Sun City, AZ 85351
Phone (623) 594-4126

14418 W Meeker Blvd
Ste 205
Sun City West, AZ 85375
Phone (623) 546-4930

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

5025 S Ash Ave
Ste 68
Tempe, AZ 85282
Phone (480) 621-7388

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICFECD/Endpoint/ICFECD

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1477699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1063964658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W FEATHER SOUND DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861007",
            "telephone_number": "623-399-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 W COGGINS DR STE 110",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513465",
            "telephone_number": "715-495-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 W Feather Sound Dr",
            "address_purpose": "LOCATION",
            "city": "Anthem",
            "state": "AZ",
            "postal_code": "850861007",
            "country_code": "US",
            "telephone_number": "623-399-0023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAZEKAS",
        "first_name": "PAMELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-29",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.