Individual provider Active NPI

Nasrin Jazayeri, N.P.

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1083776785
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN057391 Issued in AZ
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

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00435558OtherTXMEDICARE RAILROAD
8Y2620OtherTXBLUE CROSS BLUE SHIELD
039644205MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IN2 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

Enrollment IDStateProvider typePAC IDDetails
I20100115000008 AZ Practitioner - Nurse Practitioner 5991805749 Reassigns benefits to 2 organizations
I20260115001395 IN Practitioner - Nurse Practitioner 5991805749 Reassigns benefits to 2 organizations

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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

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

OrganizationSpecialtyStatusNew patients
Altea Medical Indiana PC CurrentSince Dec 14, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Dec 14, 2025 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Good Health Medical, PLLC CurrentSince Aug 5, 2019 Accepting new patients
Archwell Health Professional Services of Arizona, LLC CurrentSince Mar 18, 2024 Accepting new patients
Good Health Medical, PLLC CurrentSince Aug 5, 2019 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

  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • FHIR API: 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.

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

Verify at the official NPI Registry.