Individual provider Active NPI

Ashley Ann Rieker-Dahl, APRN

  • Family Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1356121727
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP298456 Issued in AZ
Practice address
21321 E Ocotillo Rd Ste 102
Queen Creek, AZ 85142-5993
Phone
(480) 815-7074
Fax
(949) 404-6076
NPI assigned
Oct 3, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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 RNP298456 AZ Primary

Addresses

Primary practice location

21321 E Ocotillo Rd Ste 102
Queen Creek, AZ 85142-5993

Mailing address

21321 E Ocotillo Rd Ste 102
Queen Creek, AZ 85142-5993
Phone (480) 815-7074

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
I20240424001877 AZ Practitioner - Nurse Practitioner 1456791466 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homestead HealthGroup PAC ID 9133616717, 3 clinicians
Mountain Park Health CenterGroup PAC ID 8325949647, 117 clinicians

Practice addresses (Care Compare)

Phoenix, AZ 85021
Phone (602) 755-4508

3830 E Van Buren St
Phoenix, AZ 85008-6920
Phone (602) 243-7277

635 E Baseline Rd
Phoenix, AZ 85042-6551
Phone (602) 243-7277

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP298456AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Park Health Center CurrentSince Apr 1, 2024 Accepting new patients
Mountain Park Health Center CurrentSince Apr 1, 2024 Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients

Locations

3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492

3830 E Van Buren St
Phoenix, AZ 85008
Phone (602) 675-7168

635 E Baseline Rd
Phoenix, AZ 85042

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1356121727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425993",
            "telephone_number": "480-815-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD STE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425993",
            "telephone_number": "480-815-7074",
            "fax_number": "949-404-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEKER-DAHL",
        "first_name": "ASHLEY",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP298456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.