Individual provider Active NPI

Caesar Fernando Rangel, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1093420804
Registry record updated Jan 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
285931 Issued in AZ
Practice address
11851 N 51St Ave Ste F140
Glendale, AZ 85304-2847
Phone
(480) 882-4545
Fax
(602) 409-0499
NPI assigned
Jan 16, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 285931 AZ Primary

Addresses

Primary practice location

11851 N 51St Ave Ste F140
Glendale, AZ 85304-2847

Mailing address

7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668
Phone (480) 882-4545

Other identifiers 2

IdentifierTypeStateIssuer
285931OtherAZARIZONA APRN-RNP LICENSE
145026MedicaidAZ

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
I20230503002464 AZ Practitioner - Nurse Practitioner 0446615090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Outreach Access to HealthGroup PAC ID 3577743764, shared by 9 NPIs, 107 clinicians

Practice addresses (Care Compare)

9015 N 3Rd St
Phoenix, AZ 85020-2444
Phone (480) 882-4545

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Outreach Access to Health CurrentSince Aug 1, 2023 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Aug 1, 2023 Accepting new patients
Valle del Sol, Inc. CurrentSince Jan 26, 2023 Accepting new patients
Valle del Sol, Inc. CurrentSince Jan 26, 2023 Accepting new patients
Valle del Sol, Inc. Current Accepting new patients

Locations

11851 N 51st Ave
Ste B110
Glendale, AZ 85304

11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001

4135 S Power Rd
Ste 108
Mesa, AZ 85212
Phone (480) 641-1511

334 W 10th Pl
Ste 100
Mesa, AZ 85201
Phone (480) 834-0771

8410 W Thomas Rd
Ste 116
Phoenix, AZ 85037
Phone (623) 748-9331

502 N 27th Ave
Phoenix, AZ 85009

16251 N Cave Creek Rd
Phoenix, AZ 85032

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

20440 N 27th Ave
Phoenix, AZ 85027

1209 S 1st Ave
Phoenix, AZ 85003
Phone (602) 282-8006

7500 N Dreamy Draw Dr
Ste 145
Phoenix, AZ 85020

9015 N 3rd St
Phoenix, AZ 85020

3877 N 7th St
Ste 400
Phoenix, AZ 85014
Phone (602) 257-8118

3807 N 7th St
Phoenix, AZ 85014

8705 E McDowell Rd
Scottsdale, AZ 85257

Interoperability endpoints

  • Direct secure messaging: crangel664162@direct.ochin.org

Organizations & group practices 5

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": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1093420804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204668",
            "telephone_number": "480-882-4545",
            "fax_number": "602-409-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11851 N 51ST AVE STE F140",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853042847",
            "telephone_number": "480-882-4545",
            "fax_number": "602-409-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "CAESAR",
        "middle_name": "FERNANDO",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "285931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA APRN-RNP LICENSE",
            "identifier": "285931",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145026",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.