Individual provider Active NPI

Kylee Huebsch, DNP-FNP

  • Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1083367155
Registry record updated Jan 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
264821 Issued in AZ
Practice address
4915 E Baseline Rd Ste 123
Gilbert, AZ 85234-2969
Phone
(680) 248-0802
NPI assigned
Jan 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2022

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 264821 AZ Primary

Addresses

Primary practice location

4915 E Baseline Rd Ste 123
Gilbert, AZ 85234-2969

Mailing address

10814 E Adobe Rd
Mesa, AZ 85207-3103
Phone (480) 589-1317

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
I20220329002834 AZ Practitioner - Nurse Practitioner 4880080910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zymek Cardiology PLLCGroup PAC ID 4082990486, 2 clinicians

Practice addresses (Care Compare)

6641 E Baywood Ave
Mesa, AZ 85206-1723
Phone (480) 493-5152

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
264821AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zymek Cardiology PLLC CurrentSince Mar 14, 2022 Accepting new patients

Locations

4915 E Baseline Rd
Ste 123
Gilbert, AZ 85234
Phone (480) 493-5152

6859 E Rembrandt Ave
Ste 117
Mesa, AZ 85212
Phone (480) 338-0029

6641 E Baywood Ave
Ste A3
Mesa, AZ 85206
Phone (480) 493-5152

Organizations & group practices 1

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1643500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643500800000",
    "number": "1083367155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10814 E ADOBE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073103",
            "telephone_number": "480-589-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 E BASELINE RD STE 123",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342969",
            "telephone_number": "680-248-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBSCH",
        "first_name": "KYLEE",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-30",
        "last_updated": "2022-01-30",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "264821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.