Individual provider Active NPI

Josie Wakser, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1114817814
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11067 Issued in AZ
Practice address
4200 E Camelback Rd Ste 106
Phoenix, AZ 85018-2718
Phone
(602) 255-7590
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11067 AZ Primary

Addresses

Primary practice location

4200 E Camelback Rd Ste 106
Phoenix, AZ 85018-2718

Mailing address

4905 E Tierra Buena LN
Scottsdale, AZ 85254-1640
Phone (602) 541-7719

Other practice location 1

41810 N Venture Dr Ste D136
Phoenix, AZ 85086-3174
Phone (480) 556-0446

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
I20250728001848 AZ Practitioner - Physician Assistant 9335656180 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians
Richard Lee Averitte Jr PLLCGroup PAC ID 9638069099, 31 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

11685 W Van Buren St
Avondale, AZ 85323-6904
Phone (623) 465-6420

15223 N 87TH St
Suite 110
Scottsdale, AZ 85260-2640
Phone (480) 682-4100

3141 E Indian School Rd
Phoenix, AZ 85016-6807
Phone (602) 255-7700

3247 E Bell Rd
PB1
Phoenix, AZ 85032-2707
Phone (602) 255-7655

41810 N Venture Dr
Unit D136
Anthem, AZ 85086-3174
Phone (480) 556-0446

4200 E Camelback Rd
Suite 106
Phoenix, AZ 85018-2718
Phone (602) 255-7590

4760 E Thunderbird Rd
Suite 1
Phoenix, AZ 85032-5589
Phone (480) 827-5590

9111 N 7TH St
Phoenix, AZ 85020-2515
Phone (602) 255-7670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11067AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Lee Averitte Jr PLLC CurrentSince Mar 16, 2026 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Sep 1, 2025 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince Sep 1, 2025 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Sep 1, 2025 Accepting new patients
Richard Lee Averitte Jr., PLLC PastSince Mar 16, 2026 Accepting new patients

Locations

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

4760 E Thunderbird Rd
Ste 1
Phoenix, AZ 85032
Phone (480) 827-5590

4200 E Camelback Rd
Ste 106
Phoenix, AZ 85018
Phone (602) 255-7590

41810 N Venture Dr
Ste D136
Phoenix, AZ 85086
Phone (304) 838-3084

35945 N Gary Rd
San Tan Valley, AZ 85143
Phone (480) 827-5750

20401 N 73rd St
Ste 230
Scottsdale, AZ 85255

10330 N Scottsdale Rd
Ste 25
Scottsdale, AZ 85253
Phone (602) 255-7625

3611 N Campbell Ave
Tucson, AZ 85719
Phone (520) 694-4650

7066 E Golf Links Rd
Tucson, AZ 85730
Phone (520) 514-0344

7089 N Thornydale Rd
Ste 101
Tucson, AZ 85741
Phone (520) 694-6600

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": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1114817814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 E TIERRA BUENA LN",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541640",
            "telephone_number": "602-541-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 E CAMELBACK RD STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850182718",
            "telephone_number": "602-255-7590"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41810 N Venture Dr Ste D136",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850863174",
            "country_code": "US",
            "telephone_number": "480-556-0446",
            "fax_number": "480-556-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAKSER",
        "first_name": "JOSIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.