Active NPI
Nasrin Jazayeri, N.P.
- Family Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN057391
- Practice address
- 4315 E Main St
Mesa, AZ 85205-8605 - Phone
- (480) 870-7500
- Fax
- (480) 906-2173
- NPI assigned
- Dec 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN057391 | AZ | Primary |
Addresses
Primary practice location
4315 E Main St
Mesa, AZ 85205-8605
Mailing address
102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Other practice location 1
3003 N Central Ave
Suite 800
Phoenix, AZ 85012-2902
Phone (602) 462-1132
Other practice location 2
1060 E Southern Ave Ste 106
Mesa, AZ 85204-5058
Phone (480) 870-7400
Other practice location 3
4420 E McDowell Rd
Phoenix, AZ 85008-4504
Phone (602) 858-4295
Other practice location 4
725 W Apache Trl Ste 4
Apache Junction, AZ 85120-3963
Phone (480) 870-7130
Other practice location 5
6843 E Main St
Mesa, AZ 85207-8207
Phone (480) 870-7300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00435558 | Other | TX | MEDICARE RAILROAD |
| 8Y2620 | Other | TX | BLUE CROSS BLUE SHIELD |
| 039644205 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1101 E Coolspring Ave
Michigan City, IN 46360-6310
Phone (877) 883-9430
1745 E 67TH St
Anderson, IN 46013-9202
Phone (765) 400-2967
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Indiana PC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Archwell Health Professional Services of Arizona, LLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Austin Geriatric Specialists, PLLC | Past | Accepting new patients |
Locations
725 W Apache Trl
Ste 4
Apache Junction, AZ 85120
Phone (480) 870-7130
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
6843 E Main St
Mesa, AZ 85207
Phone (480) 870-7300
1060 E Southern Ave
Ste 106
Mesa, AZ 85204
Phone (480) 870-7400
1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880
4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260
4420 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 858-4295
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282
410 W Lagrange Rd
Hanover, IN 47243
Phone (812) 503-5071
3518 S Lafountain St
#3803
Kokomo, IN 46902
Phone (765) 453-4667
1101 E Coolspring Ave
Michigan City, IN 46360
Phone (219) 874-5211
102 Woodmont Blvd
Ste 600
Nashville, TN 37205
Interoperability endpoints
- https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4
Organizations & group practices 7
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
IN
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1558026880
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1144764432
-
- Geriatric Medicine (Internal Medicine) Physician
- Gary, IN
- NPI 1992584783
-
- Family Medicine Physician
- Laveen, AZ
- NPI 1013394386
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1023828431
-
- Geriatric Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1376575886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1083776785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 WOODMONT BLVD STE 600",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372055250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4315 E MAIN ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852058605",
"telephone_number": "480-870-7500",
"fax_number": "480-906-2173"
}
],
"practiceLocations": [
{
"address_1": "3003 N Central Ave",
"address_2": "Suite 800",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850122902",
"country_code": "US",
"telephone_number": "602-462-1132",
"fax_number": "602-462-1186",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1060 E Southern Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852045058",
"country_code": "US",
"telephone_number": "480-870-7400",
"fax_number": "480-906-2174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4420 E McDowell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850084504",
"country_code": "US",
"telephone_number": "602-858-4295",
"fax_number": "480-906-2177",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 W Apache Trl Ste 4",
"address_purpose": "LOCATION",
"city": "Apache Junction",
"state": "AZ",
"postal_code": "851203963",
"country_code": "US",
"telephone_number": "480-870-7130",
"fax_number": "480-906-2171",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6843 E Main St",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852078207",
"country_code": "US",
"telephone_number": "480-870-7300",
"fax_number": "480-906-2172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAZAYERI",
"first_name": "NASRIN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-16",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "RN057391",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00435558",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "8Y2620",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "039644205",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.