Individual provider Active NPI

Stephanie Berman, FNP

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1336642115
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11048 Issued in AZ
Practice address
7975 N Hayden Rd
Scottsdale, AZ 85258-3246
Phone
(480) 268-2670
NPI assigned
Mar 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X AP11048 AZ Primary

Addresses

Primary practice location

7975 N Hayden Rd
Scottsdale, AZ 85258-3246

Mailing address

7975 N Hayden Rd
Scottsdale, AZ 85258-3246
Phone (480) 268-2670

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
I20180618001881 AZ Practitioner - Nurse Practitioner 7012262918 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Your Health Connection LLCGroup PAC ID 2769829738, 4 clinicians

Practice addresses (Care Compare)

Phoenix, AZ 85014
Phone (480) 268-2670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11048AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Scottsdale Physicians Group PLC Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
United Telehealth Corp Single Specialty CurrentSince Jan 1, 2021 Accepting new patients
Geriatric Solutions - Hov, LLC Single Specialty Past Accepting new patients

Locations

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

Interoperability endpoints

  • Direct secure messaging: stephanie.berman.1@32658.direct.athenahealth.com
  • Direct secure messaging: sberman@utc-az.direct.office.nextgen.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1336642115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583246",
            "telephone_number": "480-268-2670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7975 N HAYDEN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583246",
            "telephone_number": "480-268-2670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "STEPHANIE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-17",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.