Adrian Erica Sutter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004084 Issued in CO

Practice address

5030 S Mill Ave
Suite D12
Tempe, AZ 85282-6833

Phone

(480) 894-2823

Fax

(480) 756-6663

NPI assigned

Oct 11, 2012

Last updated

Sep 21, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Specialty

Physician Assistant

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Convenientmd - FFS UC LLCGroup PAC ID 5193186492, 397 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Ellsworth, ME
  • NPI 1780375220
  Medicare reassignment Care Compare group
• Portland Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Portland, ME
  • NPI 1609120856
  Medicare reassignment
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Westbrook, ME
  • NPI 1093406530
  NPD
• Convenientmd - FFS UC LLC

  • Urgent Care Clinic/Center
  • Sturbridge, MA
  • NPI 1386526192
  NPD

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1154673408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 E BELLEVIEW AVE",
            "address_2": "STE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801111629",
            "telephone_number": "480-894-2823",
            "fax_number": "480-756-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 S MILL AVE",
            "address_2": "SUITE D12",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826833",
            "telephone_number": "480-894-2823",
            "fax_number": "480-756-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTER",
        "first_name": "ADRIAN",
        "middle_name": "ERICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Supervista North America (brillen.com #024142)
• Supreme Home Care, Inc
• Supreme Medical Equipment, Inc
• Surgical Weight Loss Associates of Az, PLLC
• Cherron Sutten, NMD
• Judith Sutter, PH.D. CCC-SLP
• Nancy Jo Alice Sutton-McLeod, LCSW
• Christian Sutton, RBT
• Suzanne M Drewsen PLLC
• SV Healthcare LLC (Whiterock Health Center)

• Physician Assistant in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.

Verify at the official NPI Registry.