Individual provider Active NPI

Victoria Violet McBerty, FNP-BC

  • Family Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1124816079
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
261747 Issued in AZ
Practice address
29912 W Amelia Ave
Buckeye, AZ 85396-2188
Phone
(541) 291-8474
NPI assigned
Apr 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 261747 AZ Primary

Addresses

Primary practice location

29912 W Amelia Ave
Buckeye, AZ 85396-2188

Mailing address

29912 W Amelia Ave
Buckeye, AZ 85396-2188
Phone (541) 291-8474

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
I20250630004192 AZ Practitioner - Nurse Practitioner 6204349517 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Health of Arizona LLCGroup PAC ID 1951834811, 5 clinicians

Practice addresses (Care Compare)

41810 N Venture Dr
Suite E152
Anthem, AZ 85086-3176
Phone (954) 923-7440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
261747AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WT Health of Arizona LLC Single Specialty CurrentSince Jun 30, 2025 Accepting new patients
Minghsun Liu, MD PC Single Specialty CurrentSince Jun 30, 2025 Accepting new patients
Wings of Hope Medical Services, LLC Single Specialty CurrentSince Dec 30, 2025 Accepting new patients
Signify Health, LLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients

Locations

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

11022 N 28th Dr
Ste 270
Phoenix, AZ 85029
Phone (602) 971-0304

200 S Park Rd
Ste 200
Hollywood, FL 33021
Phone (866) 986-2263

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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": "1745884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1124816079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29912 W AMELIA AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962188",
            "telephone_number": "541-291-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29912 W AMELIA AVE",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853962188",
            "telephone_number": "541-291-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBERTY",
        "first_name": "VICTORIA",
        "middle_name": "VIOLET",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "261747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.