Active NPI
Barbara G Wiles, FNP-BC, MSN, RN
- Family Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1376707406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3103
- Practice address
- 6116 East Arbor Ave
Suite 112
Mesa, AZ 85206 - Phone
- (480) 641-5400
- Fax
- (480) 218-4353
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP3103 | AZ | Primary |
Addresses
Primary practice location
6116 East Arbor Ave
Suite 112
Mesa, AZ 85206
Mailing address
14780 W Mountain View Blvd
Ste 110
Surprise, AZ 85374-7280
Phone (623) 374-7774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370570 | Medicaid | AZ |
Other names 1
- Mrs. Bobbie Wiles
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3103 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ponderosa Heart House Call | Current | Accepting new patients |
Locations
2162 E Williams Field Rd
Ste 111
Gilbert, AZ 85295
Phone (480) 795-1515
3707 E Southern Ave
Ste 2099
Mesa, AZ 85206
3707 E Southern Ave
Ste 1023
Mesa, AZ 85206
Phone (480) 795-1515
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.
-
- Cardiovascular Disease Physician
- Gilbert, AZ
- NPI 1073131561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469404800000",
"number": "1376707406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14780 W MOUNTAIN VIEW BLVD",
"address_2": "STE 110",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853747280",
"telephone_number": "623-374-7774",
"fax_number": "855-420-6361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 EAST ARBOR AVE",
"address_2": "SUITE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-641-5400",
"fax_number": "480-218-4353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILES",
"first_name": "BARBARA",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "FNP-BC, MSN, RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-17",
"last_updated": "2016-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP3103",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "370570",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BOBBIE",
"last_name": "WILES",
"prefix": "MRS.",
"credential": "FNP-BC, MSN, RN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.