Individual provider Active NPI

Angela Michelle Jarvis, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1306218540
Registry record updated Mar 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8254 Issued in AZ
Practice address
333 W Indian School Rd
Phoenix, AZ 85013-3205
Phone
(602) 357-4734
NPI assigned
Oct 27, 2015
Last updated
Mar 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8254 AZ Primary

Addresses

Primary practice location

333 W Indian School Rd
Phoenix, AZ 85013-3205

Mailing address

333 W Indian School Rd
Phoenix, AZ 85013-3205
Phone (602) 357-4734

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
I20161221002184 AZ Practitioner - Nurse Practitioner 9739460296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Circle the CityGroup PAC ID 3971824442, 63 clinicians

Practice addresses (Care Compare)

210 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 254-4282

220 S 12TH Ave
Phoenix, AZ 85007-3101
Phone (602) 258-8282

333 W Indian School Rd
Phoenix, AZ 85013-3205
Phone (602) 776-9000

3522 N 3Rd Ave
Phoenix, AZ 85013-3903
Phone (602) 776-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP8254AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle the City CurrentSince Mar 1, 2021 Accepting new patients
Circle the City Current Accepting new patients
Circle the City CurrentSince Mar 1, 2021 Accepting new patients
Marana Health Center, Inc Past Accepting new patients
South Broward Hospital District Past Accepting new patients

Locations

220 S 12th Ave
Phoenix, AZ 85007
Phone (602) 372-2100

300 W Clarendon Ave
Ste 200
Phoenix, AZ 85013
Phone (602) 776-0776

333 W Indian School Rd
Phoenix, AZ 85013
Phone (602) 248-0368

3522 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 776-7676

Interoperability endpoints

  • Direct secure messaging: angela.jarvis.1@11818.direct.athenahealth.com

Organizations & group practices 5

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": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1306218540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133205",
            "telephone_number": "602-357-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W INDIAN SCHOOL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133205",
            "telephone_number": "602-357-4734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "ANGELA",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.