Individual provider Active NPI

Amy Lynn Msowoya, DNP, FNP-C

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1174973523
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8736 Issued in AZ
Practice address
7747 W Deer Valley Rd Ste 235
Peoria, AZ 85382-2123
Phone
(623) 225-7980
Fax
(623) 225-7736
NPI assigned
Jun 16, 2016
Last updated
May 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8736 AZ Primary

Addresses

Primary practice location

7747 W Deer Valley Rd Ste 235
Peoria, AZ 85382-2123

Mailing address

24654 N Lake Pleasant Pkwy
Ste 103-433
Peoria, AZ 85383-1359
Phone (623) 225-7980

Other practice location 1

20542 N Lake Pleasant Rd Ste 105
Peoria, AZ 85382-9749
Phone (623) 225-7980

Other names 1

  • Amy Lynn Kijewski Former 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
I20160816002872 AZ Practitioner - Nurse Practitioner 1850686759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Karibu Family Care PLLCGroup PAC ID 5890030480, 2 clinicians

Practice addresses (Care Compare)

7747 W Deer Valley Rd
Suite 235
Peoria, AZ 85382-2123
Phone (623) 225-7980

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8736AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Karibu Family Care PLLC CurrentSince Jun 30, 2017 Accepting new patients
Stetson Hills Family Medicine PLC Past Accepting new patients

Locations

20542 N Lake Pleasant Rd
Ste 105
Peoria, AZ 85382
Phone (602) 753-2700

24654 N Lake Pleasant Pkwy
Ste 103433
Peoria, AZ 85383

7747 W Deer Valley Rd
Ste 235
Peoria, AZ 85382
Phone (602) 375-1700

Interoperability endpoints

  • Direct secure messaging: amy.msowoya@kfc-az.direct.office.nextgen.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFGFDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFGFDD/Endpoint/EFGFDD

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1174973523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24654 N LAKE PLEASANT PKWY",
            "address_2": "STE 103-433",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853831359",
            "telephone_number": "623-225-7980",
            "fax_number": "623-225-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7747 W DEER VALLEY RD STE 235",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822123",
            "telephone_number": "623-225-7980",
            "fax_number": "623-225-7736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20542 N Lake Pleasant Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853829749",
            "country_code": "US",
            "telephone_number": "623-225-7980",
            "fax_number": "623-225-7736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MSOWOYA",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "KIJEWSKI",
            "middle_name": "LYNN",
            "credential": "DNP, FNP-C, RN-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.