Individual provider Active NPI

Nancy Vickerson

  • Audiologist
  • Scottsdale, AZ
National Provider Identifier
1225672231
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
6565 E Greenway Pkwy Ste 101
Scottsdale, AZ 85254-2056
Phone
(480) 948-2056
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X Primary

Addresses

Primary practice location

6565 E Greenway Pkwy Ste 101
Scottsdale, AZ 85254-2056

Mailing address

9097 E Desert Cove Ave Ste 200
Scottsdale, AZ 85260-6280
Phone (480) 614-5406

Other practice location 1

395 N Silverbell Rd Ste 201
Tucson, AZ 85745-2719
Phone (520) 792-2170 ext. 48061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191203003074 AZ Practitioner - Qualified Audiologist 5698108793 Reassigns benefits to 1 organization
I20221020001183 MN Practitioner - Qualified Audiologist 5698108793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
In House Senior Services LLCGroup PAC ID 7113170267, 16 clinicians

Practice addresses (Care Compare)

6625 Lyndale Ave S
Suite 105
Richfield, MN 55423-2673
Phone (612) 243-8999

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
In House Senior Services, LLC Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Arizona Otolaryngology Consultants, PC Single Specialty CurrentSince Jan 25, 2020 Accepting new patients
Foot Ankle Specialty Centers, LLC Single Specialty PastSince Mar 1, 2020 Accepting new patients

Locations

5750 W Thunderbird Rd
Ste A100
Glendale, AZ 85306
Phone (602) 938-3205

2222 E Highland Ave
Ste 204
Phoenix, AZ 85016
Phone (602) 264-4834

6565 E Greenway Pkwy
Ste 101
Scottsdale, AZ 85254
Phone (480) 948-2056

6625 Lyndale Ave S
Ste 105
Richfield, MN 55423
Phone (612) 200-8029

6625 Lyndale Ave S
Ste 300
Richfield, MN 55423
Phone (612) 243-8999

Organizations & group practices 3

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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582502400000",
    "number": "1225672231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 E DESERT COVE AVE STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606280",
            "telephone_number": "480-614-5406",
            "fax_number": "480-214-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 E GREENWAY PKWY STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542056",
            "telephone_number": "480-948-2056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "395 N Silverbell Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857452719",
            "country_code": "US",
            "telephone_number": "520-792-2170 x48061",
            "fax_number": "520-792-9702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICKERSON",
        "first_name": "NANCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.