Individual provider Active NPI

Amy Marie Webster, AGACNP

  • Adult Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1407467764
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
246117 Issued in AZ
Practice address
3155 E Southern Ave
Mesa, AZ 85204-5519
Phone
(480) 325-8173
Fax
(480) 325-8179
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 246117 AZ
Adult Health Nurse Practitioner 363LA2200X 246117 AZ Primary

Addresses

Primary practice location

3155 E Southern Ave
Mesa, AZ 85204-5519

Mailing address

3155 E Southern Ave Ste 203
Mesa, AZ 85204-5521
Phone (480) 325-8173

Other practice location 1

37290 N Schnepf Rd
San Tan Valley, AZ 85140-9786
Phone (480) 721-6973

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
I20201028000359 AZ Practitioner - Nurse Practitioner 2062822307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Hospital Based Physicians Arizona LLCGroup PAC ID 3274782487, 636 clinicians

Practice addresses (Care Compare)

2050 W Southern Ave
Apache Junction, AZ 85120-7305
Phone (480) 733-3300

Hospital & facility affiliations

  • Banner Goldfield Medical Center Hospital, Apache Junction, AZ, CCN 030134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246117AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 24, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Nov 24, 2024 Accepting new patients
Hope Heart Heal Current Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Hope Heart Heal Health and Wellness LLC Adult Health Current Accepting new patients
Arizona Lung & Sleep Institute PLLC PastSince Mar 18, 2024 Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

21168 E Ocotillo Rd
San Tan Vly, AZ 85142
Phone (520) 677-8025

Interoperability endpoints

  • Direct secure messaging: amy.webster.1@27138.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/27138/brand/2/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1407467764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3155 E SOUTHERN AVE STE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045521",
            "telephone_number": "480-325-8173",
            "fax_number": "480-325-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3155 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045519",
            "telephone_number": "480-325-8173",
            "fax_number": "480-325-8179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37290 N Schnepf Rd",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851409786",
            "country_code": "US",
            "telephone_number": "480-721-6973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "246117",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "246117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.