Individual provider Active NPI

Tracey C Hedberg, ANP-C

  • Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1376790360
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP3076 Issued in AZ
Practice address
16435 N Scottsdale Rd Ste 285
Scottsdale, AZ 85254-1680
Phone
(866) 849-0692
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP3076 AZ Primary

Addresses

Primary practice location

16435 N Scottsdale Rd Ste 285
Scottsdale, AZ 85254-1680

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

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
I20081001000181 AZ Practitioner - Nurse Practitioner 6406924612 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT Health of Arizona LLCGroup PAC ID 1951834811, 5 clinicians

Practice addresses (Care Compare)

41810 N Venture Dr
Suite E152
Anthem, AZ 85086-3176
Phone (954) 923-7440

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WT Health of Arizona LLC CurrentSince Mar 5, 2025 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Feb 24, 2019 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Mobileonedocs, LLC CurrentSince Oct 29, 2020 Accepting new patients
Minghsun Liu, MD PC CurrentSince Jan 20, 2025 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Feb 24, 2019 Accepting new patients
Mobileonedocs, LLC CurrentSince Oct 29, 2020 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

41810 N Venture Dr
Ste E152
Anthem, AZ 85086
Phone (623) 584-9295

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

19646 N 27th Ave
Ste 301
Phoenix, AZ 85027
Phone (623) 238-7700

2222 E Highland Ave
Ste 400
Phoenix, AZ 85016
Phone (480) 767-2130

17470 N Pacesetter Way
Scottsdale, AZ 85255
Phone (480) 331-1247

10115 E Bell Rd
Ste 107234
Scottsdale, AZ 85260
Phone (480) 843-9877

Organizations & group practices 8

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": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1376790360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16435 N SCOTTSDALE RD STE 285",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541680",
            "telephone_number": "866-849-0692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDBERG",
        "first_name": "TRACEY",
        "middle_name": "C",
        "credential": "ANP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP3076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.