Individual provider Active NPI

Victoria Lynn Carpenter, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1205088846
Registry record updated Jan 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2407 Issued in AZ
Practice address
5452 E Bell Rd
Suite 115
Scottsdale, AZ 85254
Phone
(480) 467-2273
Fax
(602) 547-6887
NPI assigned
Oct 14, 2008
Last updated
Jan 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2407 AZ Primary

Addresses

Primary practice location

5452 E Bell Rd
Suite 115
Scottsdale, AZ 85254

Mailing address

1601 E Highland Ave Apt 1139
Phoenix, AZ 85016-4684
Phone (602) 799-8874

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address victoria.carpenter@sep.eclinicaldirectplus.com

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
I20060503000822 AZ Practitioner - Physician Assistant 2062422157 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
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)

20950 N Tatum Blvd
Suite 190
Phoenix, AZ 85050-4251
Phone (480) 776-0021

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

3931 E Camelback Rd
Phoenix, AZ 85018-2609
Phone (602) 687-7858

4730 E Indian School Rd
Suite 211
Phoenix, AZ 85018-5410
Phone (602) 354-3491

4815 E Carefree Hwy
Suite 124
Cave Creek, AZ 85331-4719
Phone (480) 626-0525

5410 W Thunderbird Rd
Suite 101
Glendale, AZ 85306-4711
Phone (602) 530-6189

7425 E Shea Blvd
Suite 108
Scottsdale, AZ 85260-6411
Phone (480) 348-1060

8101 N 19TH Ave
Suite a
Phoenix, AZ 85021-5161
Phone (602) 845-4505

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

9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
St Josephs Pathology Current Accepting new patients
Innovative Pain and Wellness PLC CurrentSince Aug 1, 2023 Accepting new patients
Dignity Health Past Accepting new patients
Empower Emergency Physicians, PC Past Accepting new patients

Locations

6553 E Baywood Ave
Ste 201
Mesa, AZ 85206
Phone (480) 467-2273

1277 E Missouri Ave
Ste 102
Phoenix, AZ 85014
Phone (480) 467-2273

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

18511 N Scottsdale Rd
Ste 202
Scottsdale, AZ 85255
Phone (480) 306-7242

5425 E Bell Rd
Ste 115
Scottsdale, AZ 85254
Phone (480) 467-2273

File 56765
Los Angeles, CA 90074

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GGDGCD/Endpoint/GGDGCD
  • Direct secure messaging: victoria.carpenter@sep.eclinicaldirectplus.com
  • Direct secure messaging: victoria.carpenterpac.p1@direct.nextcare.nextgenshare.com

Organizations & group practices 8

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": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1205088846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E HIGHLAND AVE APT 1139",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164684",
            "telephone_number": "602-799-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5452 E BELL RD",
            "address_2": "SUITE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85254",
            "telephone_number": "480-467-2273",
            "fax_number": "602-547-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "VICTORIA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2022-01-03",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "victoria.carpenter@sep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "5452 E Bell Rd",
            "address_2": "Suite 115",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.