Individual provider Active NPI

Adina Ramona Boros, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1194226928
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN178305 Issued in AZ
Practice address
5625 W Bell Rd # 100
Glendale, AZ 85308-3878
Phone
(602) 239-4100
Fax
(602) 239-4040
NPI assigned
Feb 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN178305 AZ Primary

Addresses

Primary practice location

5625 W Bell Rd # 100
Glendale, AZ 85308-3878

Mailing address

2025 N 3Rd St
Phoenix, AZ 85004-1471
Phone (602) 258-1112

Other identifiers 1

IdentifierTypeStateIssuer
2017011250OtherBOARD CERTIFICATION

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
I20180430001577 AZ Practitioner - Nurse Practitioner 7315201282 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
Telehealth
Offers telehealth services
Group practices
Partners in Recovery LLCGroup PAC ID 9638212301, 32 clinicians

Practice addresses (Care Compare)

5625 W Bell Rd
Glendale, AZ 85308-3878
Phone (602) 239-4100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Recovery, LLC CurrentSince May 1, 2018 Accepting new patients
Partners in Recovery, LLC Current Accepting new patients
Partners in Recovery, LLC CurrentSince May 1, 2018 Accepting new patients
Partners in Recovery, LLC PastSince Sep 5, 2023 Accepting new patients

Locations

5625 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (480) 793-3573

5625 W Bell Rd
Glendale, AZ 85308
Phone (602) 203-9410

5625 W Bell Rd
#100
Glendale, AZ 85308
Phone (602) 239-4100

924 N Country Club Dr
Mesa, AZ 85201
Phone (480) 696-3800

10240 N 31st Ave
Ste 200
Phoenix, AZ 85051
Phone (602) 395-1700

Interoperability endpoints

  • Direct secure messaging: adina.boros@direct.azpir.nextgenshare.com

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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1194226928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041471",
            "telephone_number": "602-258-1112",
            "fax_number": "480-401-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 W BELL RD # 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083878",
            "telephone_number": "602-239-4100",
            "fax_number": "602-239-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROS",
        "first_name": "ADINA",
        "middle_name": "RAMONA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN178305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION",
            "identifier": "2017011250",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.