Individual provider Active NPI

Rachael Ashley Rezzonico, PA-C

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1114708344
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9857 Issued in AZ
Practice address
1500 N Priest Dr # 109
Tempe, AZ 85288-1213
Phone
(833) 719-0886
NPI assigned
Oct 12, 2023
Last updated
Sep 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9857 AZ Primary
Medical Physician Assistant 363AM0700X 9857 AZ
Surgical Physician Assistant 363AS0400X 9857 AZ

Addresses

Primary practice location

1500 N Priest Dr # 109
Tempe, AZ 85288-1213

Mailing address

1500 N Priest Dr # 109
Tempe, AZ 85288-1213
Phone (833) 719-0886

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
I20231128002221 AZ Practitioner - Physician Assistant 2769830900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Group Providers LLCGroup PAC ID 9335430693, 24 clinicians

Practice addresses (Care Compare)

1500 N Priest Dr
Suite 109
Tempe, AZ 85288-1213
Phone (602) 734-5664

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
71.1
Promoting interoperability
68
Improvement activities
40
Cost
69.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9857AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Solutions of Arizona PLLC PastSince Sep 21, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rachael.rezzonico.1@24259.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1114708344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N PRIEST DR # 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881213",
            "telephone_number": "833-719-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N PRIEST DR # 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881213",
            "telephone_number": "833-719-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZZONICO",
        "first_name": "RACHAEL",
        "middle_name": "ASHLEY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9857",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "9857",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "9857",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.