Individual provider Active NPI

Angelita Crystal Zechman, FNP-BC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1396719233
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP008523 Issued in PA
Practice address
20601 N 19TH Ave Ste 130
Phoenix, AZ 85027-3587
Phone
(480) 862-1700
NPI assigned
Feb 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R236714 MD
Family Nurse Practitioner 363LF0000X SP008523 PA Primary

Addresses

Primary practice location

20601 N 19TH Ave Ste 130
Phoenix, AZ 85027-3587

Mailing address

20601 N 19TH Ave Ste 130
Phoenix, AZ 85027-3587
Phone (480) 862-1700

Other practice location 1

110 S 17th St
Harrisburg, PA 17104-1123
Phone (717) 232-9971

Other practice location 2

110 S 17th St
Harrisburg, PA 17104-1123
Phone (717) 232-9971

Other practice location 3

503 Muir St Ste A
Cambridge, MD 21613
Phone (410) 228-4045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IA, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240909001676 KY Practitioner - Nurse Practitioner 7012019813 Reassigns benefits to 1 organization
I20250113002205 IA Practitioner - Nurse Practitioner 7012019813
I20260115002758 WV Practitioner - Nurse Practitioner 7012019813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 Hillside Dr
New Cumberland, PA 17070-1858

424 Church St
Nashville, TN 37219-2301

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Jul 1, 2024 Accepting new patients
Matrix Medical Plus CurrentSince Dec 1, 2025 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

4620 E 53rd St
Ste 200
Davenport, IA 52807
Phone (563) 213-5100

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

424 Church St
Ste 2600
Nashville, TN 37219
Phone (480) 450-3721

209 Washington St W
Charleston, WV 25302
Phone 24852821166

Organizations & group practices 2

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": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1396719233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20601 N 19TH AVE STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273587",
            "telephone_number": "480-862-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20601 N 19TH AVE STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273587",
            "telephone_number": "480-862-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171041123",
            "country_code": "US",
            "telephone_number": "717-232-9971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171041123",
            "country_code": "US",
            "telephone_number": "717-232-9971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "503 Muir St Ste A",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MD",
            "postal_code": "21613",
            "country_code": "US",
            "telephone_number": "410-228-4045",
            "fax_number": "410-221-6457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZECHMAN",
        "first_name": "ANGELITA",
        "middle_name": "CRYSTAL",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R236714",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP008523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.