Active NPI
Natalie Scalise Degroff, FNP
- Family Nurse Practitioner
- Ridgeland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4123
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 175562 | CO | MD | Registered Nurse |
| AP4123 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synergy Care LLC | Current | Accepting new patients | |
| Synergy Care LLC | Current | Accepting new patients | |
| Bond Pharmacy Inc | Past | 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.
-
dba Advanced Infusion Care Centers
- Infusion Therapy Clinic/Center
- Phoenix, AZ
- NPI 1174310122
-
dba Advanced Infusion Care Centers
- Infusion Therapy Clinic/Center
- Louisville, KY
- NPI 1386503076
-
dba Advanced Infusion Solutions
- Home Infusion Therapy Pharmacy
- Ridgeland, MS
- NPI 1336243393
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.