Individual provider Active NPI

Natalie Scalise Degroff, FNP

  • Family Nurse Practitioner
  • Ridgeland, MS
National Provider Identifier
1407136435
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4123 Issued in AZ
Practice address
623 Highland Colony Pkwy
Ridgeland, MS 39157
Phone
(720) 290-4071
Fax
(601) 510-7694
NPI assigned
Aug 22, 2011
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 175562 CO
Family Nurse Practitioner 363LF0000X AP4123 AZ Primary

Addresses

Primary practice location

623 Highland Colony Pkwy
Ridgeland, MS 39157

Mailing address

623 Highland Colony Pkwy
Ridgeland, MS 39157-6076
Phone (877) 443-4006

Other practice location 1

1847 W Heatherbrae Dr
Phoenix, AZ 85015-4764
Phone (602) 274-2100

Other practice location 2

1166 E Warner Rd
Gilbert, AZ 85296-3064
Phone (769) 300-4303

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
I20111116000291 AZ Practitioner - Nurse Practitioner 4385818947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Care LLCGroup PAC ID 1153839691, 3 clinicians

Practice addresses (Care Compare)

1010 E McDowell Rd
Suite 105
Phoenix, AZ 85006-2607
Phone (480) 562-6013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
175562COMDRegistered Nurse
AP4123AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Care LLC CurrentSince Jul 15, 2025 Accepting new patients
Synergy Care LLC CurrentSince Jul 15, 2025 Accepting new patients
Bond Pharmacy Inc PastSince Jul 24, 2022 Accepting new patients

Locations

1010 E McDowell Rd
Ste 105
Phoenix, AZ 85006
Phone (480) 562-6013

18451 Dallas Pkwy
Ste 150
Dallas, TX 75287
Phone (601) 988-1700

Organizations & group practices 3

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1407136435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 HIGHLAND COLONY PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576076",
            "telephone_number": "877-443-4006",
            "fax_number": "888-298-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 HIGHLAND COLONY PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "39157",
            "telephone_number": "720-290-4071",
            "fax_number": "601-510-7694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1847 W Heatherbrae Dr",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850154764",
            "country_code": "US",
            "telephone_number": "602-274-2100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1166 E Warner Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852963064",
            "country_code": "US",
            "telephone_number": "769-300-4303",
            "fax_number": "601-510-7694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGROFF",
        "first_name": "NATALIE",
        "middle_name": "SCALISE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "175562",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

Verify at the official NPI Registry.