Individual provider Active NPI

Andrea Wilson, NP

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
National Provider Identifier
1326031840
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
RN086815 Issued in AZ
Practice address
9522 E San Salvador Dr
Ste 206
Scottsdale, AZ 85258-5557
Phone
(480) 991-6624
Fax
(480) 991-1649
NPI assigned
Aug 30, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X RN086815 AZ Primary

Addresses

Primary practice location

9522 E San Salvador Dr
Ste 206
Scottsdale, AZ 85258-5557

Mailing address

9522 E San Salvador Dr
Ste 206
Scottsdale, AZ 85258-5557
Phone (480) 991-6624

Other identifiers 1

IdentifierTypeStateIssuer
643686MedicaidAZ

Other names 1

  • Andrea Kozak Other 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
I20260217001398 AZ Practitioner - Nurse Practitioner 7113407396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10200 N 92ND St
Suite 150
Scottsdale, AZ 85258-4535
Phone (480) 882-7450

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN086818AZMDSchool Registered Nurse
RN086815AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory Cardiovascular Disease CurrentSince Jan 5, 2026 Accepting new patients
Honorhealth Ambulatory CurrentSince Jan 5, 2026 Accepting new patients
Heartcare PC Cardiovascular Disease Past Accepting new patients
Honorhealth Ambulatory Cardiovascular Disease Past Accepting new patients

Locations

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

9250 W Thomas Rd
Ste 300
Phoenix, AZ 85037
Phone (602) 386-1100

10200 N 92nd St
Ste 150
Scottsdale, AZ 85258
Phone (480) 860-8488

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: awilson657693@direct.honorhealth.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.

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1326031840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 E SAN SALVADOR DR",
            "address_2": "STE 206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585557",
            "telephone_number": "480-991-6624",
            "fax_number": "480-991-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 E SAN SALVADOR DR",
            "address_2": "STE 206",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585557",
            "telephone_number": "480-991-6624",
            "fax_number": "480-991-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANDREA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "RN086815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "643686",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "KOZAK",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.