Individual provider Active NPI

Alycia Susan Ernst-Amador, F.N.P., R.N.

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1154467579
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5137 Issued in AZ
Practice address
8417 E McDowell Rd
Scottsdale, AZ 85257-3917
Phone
(480) 946-3399
Fax
(480) 946-2559
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP5137 AZ Primary
Registered Nurse 163W00000X RN101841 AZ
School Registered Nurse 163WS0200X B101841 AZ
Community Health/Public Health Clinical Nurse Specialist 364SC1501X 2009005747 AZ

Addresses

Primary practice location

8417 E McDowell Rd
Scottsdale, AZ 85257-3917

Mailing address

5528 E Hillery Dr
Scottsdale, AZ 85254-2375
Phone (480) 399-2497

Other identifiers 1

IdentifierTypeStateIssuer
891748OtherAZAHCCCS

Other names 1

  • Ms. Alycia Susan Ernst Other name

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
I20140623002653 AZ Practitioner - Nurse Practitioner 6002044096 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Scottsdale Chiropractic PCGroup PAC ID 6800998212, 2 clinicians

Practice addresses (Care Compare)

2765 N Scottsdale Rd
Suite 108
Scottsdale, AZ 85257-1353
Phone (480) 990-1818

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
B101841AZMDSchool Registered Nurse
AP5137AZMDFamily Nurse Practitioner
2009005747AZMDCommunity Health/Public Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Family Medical Clinic LLC Family CurrentSince Nov 19, 2023 Accepting new patients
American Physical Therapy, Inc. CurrentSince May 4, 2022 Accepting new patients
Sean M Ormond MD LLC CurrentSince Jan 13, 2025 Accepting new patients
Scottsdale Chiropractic, PC CurrentSince Feb 22, 2022 Accepting new patients
Atlas Outpatient CurrentSince Feb 2, 2025 Accepting new patients

Locations

18205 N 51st Ave
Ste 125
Glendale, AZ 85308
Phone (602) 492-9821

303 E Baseline Rd
Ste 103
Phoenix, AZ 85042
Phone (602) 276-5821

3201 W Peoria Ave
Ste A100
Phoenix, AZ 85029
Phone (480) 256-1625

2765 N Scottsdale Rd
Ste 108
Scottsdale, AZ 85257
Phone (480) 990-1818

8417 E McDowell Rd
Ste 103
Scottsdale, AZ 85257
Phone (480) 946-3399

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1154467579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5528 E HILLERY DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542375",
            "telephone_number": "480-399-2497",
            "fax_number": "480-946-2559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8417 E MCDOWELL RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573917",
            "telephone_number": "480-946-3399",
            "fax_number": "480-946-2559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNST-AMADOR",
        "first_name": "ALYCIA",
        "middle_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "F.N.P., R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5137",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN101841",
            "primary": false
        },
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "B101841",
            "primary": false
        },
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "AZ",
            "license": "2009005747",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "891748",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYCIA",
            "last_name": "ERNST",
            "middle_name": "SUSAN",
            "prefix": "MS.",
            "credential": "R.N.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.