Individual provider Active NPI

Katie Beutler Ralon, PA-C

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1194292920
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8838 Issued in AZ
Practice address
914 N Scottsdale Rd Ste 104
Tempe, AZ 85288-2116
Phone
(480) 924-8382
Fax
(480) 966-0566
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8838 AZ Primary

Addresses

Primary practice location

914 N Scottsdale Rd Ste 104
Tempe, AZ 85288-2116

Mailing address

914 N Scottsdale Rd Ste 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

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
I20220330001289 AZ Practitioner - Physician Assistant 0547508004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1155 W Ocotillo Rd
Suite 4
Chandler, AZ 85248-3201
Phone (480) 374-7400

2122 N Scottsdale Rd
Scottsdale, AZ 85257-2123
Phone (480) 889-3570

2145 E Baseline Rd
Tempe, AZ 85283-1546
Phone (480) 704-4411

535 E McKellips Rd
Suite 101
Mesa, AZ 85203-2525
Phone (480) 844-7400

600 S Dobson Rd
Suite C26
Chandler, AZ 85224-5690
Phone (480) 814-1560

835 N Gilbert Rd
Suite 101
Gilbert, AZ 85234-3372
Phone (480) 353-2210

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: katie.ralonpac.p1@direct.nextcare.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1194292920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N SCOTTSDALE RD STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852882116",
            "telephone_number": "480-924-8382",
            "fax_number": "480-966-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N SCOTTSDALE RD STE 104",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852882116",
            "telephone_number": "480-924-8382",
            "fax_number": "480-966-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALON",
        "first_name": "KATIE",
        "middle_name": "BEUTLER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.