Active NPI
Jamie Lee Resnick, MD
- Emergency Medicine Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 63189
- Practice address
- 1200 N Beaver St
Flagstaff, AZ 86001-3118 - Phone
- (928) 214-3930
- NPI assigned
- Jun 5, 2018
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 63189 | AZ | Primary |
Addresses
Primary practice location
1200 N Beaver St
Flagstaff, AZ 86001-3118
Mailing address
PO Box 67
Flagstaff, AZ 86002-0067
Phone (928) 214-3930
Other practice location 1
3700 W State Route 89A
Sedona, AZ 86336-4937
Phone (928) 204-4100
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 774-1693
Hospital & facility affiliations
- Verde Valley Medical Center
- Flagstaff Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.21 of 100
- Quality
- 70.63
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63189 | AZ | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Flagstaff Emergency Physicians | Emergency Medicine | Current | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
3700 W State Route 89A
Sedona, AZ 86336
Phone (928) 204-3000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Flagstaff, AZ
- NPI 1073683991
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
-
- General Acute Care Hospital
- Cottonwood, AZ
- NPI 1346291648
-
- General Acute Care Hospital
- Sedona, AZ
- NPI 1538608716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1326530338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 67",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860020067",
"telephone_number": "928-214-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N BEAVER ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860013118",
"telephone_number": "928-214-3930"
}
],
"practiceLocations": [
{
"address_1": "3700 W State Route 89A",
"address_purpose": "LOCATION",
"city": "Sedona",
"state": "AZ",
"postal_code": "863364937",
"country_code": "US",
"telephone_number": "928-204-4100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RESNICK",
"first_name": "JAMIE",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "63189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.