Active NPI
Nancy Rapkoch, PA
- Physician Assistant
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6816
- Practice address
- 1810 S Crismon Rd Ste 191
Mesa, AZ 85209-3900 - Phone
- (480) 393-0575
- Fax
- (480) 704-4019
- NPI assigned
- Oct 20, 2017
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 6816 | AZ | Primary |
Addresses
Primary practice location
1810 S Crismon Rd Ste 191
Mesa, AZ 85209-3900
Mailing address
1810 S Crismon Rd Ste 191
Mesa, AZ 85209-3900
Phone (480) 393-0575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 331392 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10420 N la Canada Dr
Suite 120
Oro Valley, AZ 85737-7025
Phone (480) 677-8282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6816 | AZ | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Reddy Gi Associates | Past | Accepting new patients | |
| Good Health Medical, PLLC | Past | Accepting new patients | |
| Brandon Suedekum MD, PC | Past | Accepting new patients | |
| Central Arizona Gi & Liver Institute LLC | Past | Accepting new patients |
Locations
3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880
1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888
2632 S 83rd Ave
Ste 113
Phoenix, AZ 85043
2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282
Interoperability endpoints
- https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
- nrapkoch18965@mydrnow.gardenplot.direct-ci.com
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.
-
dba Summit Eye Surgeons
- Ophthalmology Physician
- Scottsdale, AZ
- NPI 1487204442
-
dba AZ Gastro Care Endoscopy Center
- Ambulatory Surgical Clinic/Center
- Gilbert, AZ
- NPI 1164871075
-
- Ambulatory Surgical Clinic/Center
- Mesa, AZ
- NPI 1508399544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1124539812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 S CRISMON RD STE 191",
"city": "MESA",
"state": "AZ",
"postal_code": "852093900",
"telephone_number": "480-393-0575",
"fax_number": "480-704-4019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1810 S CRISMON RD STE 191",
"city": "MESA",
"state": "AZ",
"postal_code": "852093900",
"telephone_number": "480-393-0575",
"fax_number": "480-704-4019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAPKOCH",
"first_name": "NANCY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-20",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "6816",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "331392",
"state": "AZ"
}
],
"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 Oct 30, 2018; 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.