Individual provider Active NPI

Elena Carretta

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1326412388
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8023 Issued in AZ
Practice address
6859 E Rembrandt Ave
Ste 117
Mesa, AZ 85212-3628
Phone
(480) 632-1577
NPI assigned
Nov 13, 2015
Last updated
Nov 13, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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 AP8023 AZ Primary

Addresses

Primary practice location

6859 E Rembrandt Ave
Ste 117
Mesa, AZ 85212-3628

Mailing address

6859 E Rembrandt Ave
Ste 117
Mesa, AZ 85212-3628

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
I20180116001459 AZ Practitioner - Nurse Practitioner 9032478524 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

Practice addresses (Care Compare)

6859 E Rembrandt Ave
Suite 117
Mesa, AZ 85212-3630
Phone (480) 632-1577

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.18 of 100Reported as group
Quality
79.05
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8023AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
San Tan Cardiovascular Center LLC Current Accepting new patients
San Tan CVC Chandler CurrentSince Nov 21, 2017 Accepting new patients

Locations

6740 S Kings Ranch Rd
Gold Canyon, AZ 85118

6740 S Kings Ranch Rd
Ste 102
Gold Canyon, AZ 85118
Phone (480) 616-2500

6740 S Kings Ranch Rd
Ste 103
Gold Canyon, AZ 85118
Phone (480) 543-1525

6859 E Rembrandt Ave
Ste 117
Mesa, AZ 85212
Phone (480) 338-0029

Interoperability endpoints

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

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 5

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": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1326412388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6859 E REMBRANDT AVE",
            "address_2": "STE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6859 E REMBRANDT AVE",
            "address_2": "STE 117",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852123628",
            "telephone_number": "480-632-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRETTA",
        "first_name": "ELENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.