Individual provider Active NPI

Monica Crespo-Lezama, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1295560167
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1493-PA Issued in PR
Practice address
5151 N 16TH St Apt 2035
Phoenix, AZ 85016-3811
Phone
(939) 645-6978
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 1493-PA PR Primary

Addresses

Primary practice location

5151 N 16TH St Apt 2035
Phoenix, AZ 85016-3811

Mailing address

5151 N 16TH St Apt 2035
Phoenix, AZ 85016-3811
Phone (939) 645-6978

Other names 1

  • Ms. Monica Crespo Former name

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
I20260623001773 AZ Practitioner - Physician Assistant 9436622354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arcadia Medical Group LLCGroup PAC ID 1850642364, 10 clinicians

Practice addresses (Care Compare)

2836 E Indian School Rd
Suite A8
Phoenix, AZ 85016-6864
Phone (480) 926-7800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1493-PAPRMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Oximetry Incorporated Past Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients
Valley Sleep Physicians, Inc PastSince Feb 10, 2014 Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1295560167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N 16TH ST APT 2035",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163811",
            "telephone_number": "939-645-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N 16TH ST APT 2035",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163811",
            "telephone_number": "939-645-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRESPO-LEZAMA",
        "first_name": "MONICA",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PR",
            "license": "1493-PA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "CRESPO",
            "prefix": "MS.",
            "credential": "PHYSICIAN ASSISTANT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.