Individual provider Active NPI

Nancy Olney

  • Physician Assistant
  • Chino Valley, AZ
National Provider Identifier
1306613393
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10631 Issued in AZ
Practice address
1934 Az-89
Chino Valley, AZ 86323
Phone
(928) 667-1968
NPI assigned
Dec 8, 2023
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 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 10631 AZ Primary

Addresses

Primary practice location

1934 Az-89
Chino Valley, AZ 86323

Mailing address

1934 Az-89
Chino Valley, AZ 86323
Phone (928) 667-1968

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
I20241211002348 AZ Practitioner - Physician Assistant 4880120062 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carelock LLCGroup PAC ID 9436491172, 14 clinicians

Practice addresses (Care Compare)

1934 N Hwy 89
Chino Valley, AZ 86323-5643
Phone (928) 667-1968

20172 E Stagecoach TRL
Mayer, AZ 86333-2357
Phone (928) 632-4399

2150 W Indian School Rd
Phoenix, AZ 85015-4907
Phone (480) 681-3450

2920 E Mohawk LN
Suite 101
Phoenix, AZ 85050-4773
Phone (480) 681-3450

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10631AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carelock, LLC CurrentSince Oct 7, 2024 Accepting new patients
Carelock, LLC CurrentSince Oct 7, 2024 Accepting new patients

Locations

1934 N State Route 89
Chino Valley, AZ 86323
Phone (928) 404-1488

14600 S Waterberry St
Mayer, AZ 86333
Phone (800) 725-0365

2920 E Mohawk Ln
Ste 101
Phoenix, AZ 85050
Phone (480) 681-3450

15029 N Thompson Peak Pkwy
Ste B111
Scottsdale, AZ 85260
Phone (480) 200-9035

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJGBD

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1306613393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 AZ-89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "86323",
            "telephone_number": "928-667-1968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 AZ-89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "86323",
            "telephone_number": "928-667-1968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLNEY",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

Verify at the official NPI Registry.