Active NPI
Nathan Liebenstein, ARNP
- Adult Health Nurse Practitioner
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 256160
- Practice address
- 3120 Clearwater Dr
Prescott, AZ 86305-7131 - Phone
- (928) 771-3704
- Fax
- (928) 771-0434
- NPI assigned
- Sep 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 256160 | AZ | Primary |
Addresses
Primary practice location
3120 Clearwater Dr
Prescott, AZ 86305-7131
Mailing address
PO Box 10880
Prescott, AZ 86304-0880
Phone (602) 406-4786
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093322 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
802 Ainsworth Dr
Suite B
Prescott, AZ 86301-1623
Phone (928) 445-1232
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yavapai Regional Medical Center Physician Care LLC | Current | Accepting new patients | |
| Yavapai Regional Medical Center Physician Care LLC | Current | Accepting new patients | |
| Prescott Gastroenterology | Past | Accepting new patients |
Locations
802 Ainsworth Dr
Ste B
Prescott, AZ 86301
Phone (928) 445-1232
1001 Willow Creek Rd
Ste 2200
Prescott, AZ 86301
Phone (928) 445-6025
802 Ainsworth Dr
Ste A
Prescott, AZ 86301
Phone (928) 445-6025
3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818
Interoperability endpoints
- nliebenstein181150@ghc.direct-ci.net
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.
-
dba Yavapai Regional Medical Center Physician Care
- Cardiovascular Disease Physician
- Prescott, AZ
- NPI 1255582003
-
dba Yavapai Regional Medical Center Physician Care
- Cardiovascular Disease Physician
- Prescott, AZ
- NPI 1528394830
-
- Gastroenterology Physician
- Prescott, AZ
- NPI 1720110984
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CenterWell Home Health
- Home Health Agency
- Prescott, AZ
- NPI 1437158821
-
dba Mountain Valley Home for Health
- Home Health Agency
- Prescott Valley, AZ
- NPI 1174904130
-
dba Nurses Network by Quality Home Health Care
- Home Health Agency
- Prescott Valley, AZ
- NPI 1215990486
-
dba Yavapai Regional Medical Center
- General Acute Care Hospital
- Prescott, AZ
- NPI 1902897820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739750400000",
"number": "1235657586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10880",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863040880",
"telephone_number": "602-406-4786",
"fax_number": "916-636-4358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 CLEARWATER DR",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863057131",
"telephone_number": "928-771-3704",
"fax_number": "928-771-0434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEBENSTEIN",
"first_name": "NATHAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-07",
"last_updated": "2025-02-17",
"certification_date": "2025-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "256160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093322",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
- Deeann Louise Lett Neal, OTR L
- Jessica Lee Levasseur, PA-C
- Louise Corinne Levy, LMT
- Mary Lewis, RDH
- Weston Stallard Lewis, PHARMD
- Life Care Centers of America, Inc. (Las Fuentes Rehabilitation Center)
- Life Care Centers of America, Inc. (Las Fuentes Care Center)
- Life Light Counseling
- Life Line Ambulance Service Inc
- Lifetime Medical Care PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.