Active NPI
Andrea Wilson, NP
- Cardiovascular Disease Physician
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- RN086815
- 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, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 643686 | Medicaid | AZ |
Other names 1
- Andrea Kozak
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, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN086818 | AZ | MD | School Registered Nurse |
| RN086815 | AZ | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Ambulatory | Cardiovascular Disease | Current | Accepting new patients |
| Honorhealth Ambulatory | Current | 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
- 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.
-
dba HonorHealth Research Institute
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1659995892
Cardiovascular Disease
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Clinical Cardiac Electrophysiology Physician
- Scottsdale, AZ
- NPI 1003994351
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Scottsdale, AZ
- NPI 1275833915
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Scottsdale Shea Medical Center
- General Acute Care Hospital
- Scottsdale, AZ
- NPI 1386608859
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.