Individual provider Active NPI

Amanda Janel Hasl, AG-ACNP

  • Acute Care Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1235522020
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP7640 Issued in AZ
Practice address
13634 N 93Rd Ave
Suite 300
Peoria, AZ 85381-4914
Phone
(623) 815-2484
Fax
(623) 815-2483
NPI assigned
Mar 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP7640 AZ Primary

Addresses

Primary practice location

13634 N 93Rd Ave
Suite 300
Peoria, AZ 85381-4914

Mailing address

6813 N 10TH PL
Phoenix, AZ 85014-1021
Phone (480) 516-1927

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
I20150611003176 AZ Practitioner - Nurse Practitioner 9234450529 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa Physicians PLLC CurrentSince Dec 22, 2025 Accepting new patients
North Valley Emergency Specialists CurrentSince Sep 1, 2015 Accepting new patients
Cardiac Care Consultants Past Accepting new patients

Locations

3303 S Lindsay Rd
Ste 123
Gilbert, AZ 85297
Phone (480) 821-9339

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/gemms-car01

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": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1235522020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6813 N 10TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850141021",
            "telephone_number": "480-516-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13634 N 93RD AVE",
            "address_2": "SUITE 300",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814914",
            "telephone_number": "623-815-2484",
            "fax_number": "623-815-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASL",
        "first_name": "AMANDA",
        "middle_name": "JANEL",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP7640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.