Nadine Shelepak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2790 Issued in AZ

Practice address

39612 N Central Ave
Phoenix, AZ 85086-9145

Phone

(623) 465-9111

NPI assigned

Jul 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance Urgent Care PLLCGroup PAC ID 8022111749, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Alliance Urgent Care PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Tolleson, AZ
  • NPI 1891888517
  Medicare reassignment Care Compare group
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

  • Public Health or Welfare Agency
  • Maricopa, AZ
  • NPI 1538043443
  NPD
• Arizona Heart Specialists PLLC

  • Cardiovascular Disease Physician
  • Lakeside, AZ
  • NPI 1750513438
  NPD (past)
• Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm

  • Durable Medical Equipment & Medical Supplies
  • Scottsdale, AZ
  • NPI 1730255639
  NPD (past)
• Dhew Indian Health Service Health Services & Mental Health Adm.

  • Dentist
  • Gila Bend, AZ
  • NPI 1780730549
  NPD (past)
• Ultimate Urgent Care Centers

  • Urgent Care Clinic/Center
  • Peoria, AZ
  • NPI 1356547798
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1407873110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39612 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850867568",
            "telephone_number": "480-236-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39612 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850869145",
            "telephone_number": "623-465-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELEPAK",
        "first_name": "NADINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie J Shelde, LPN
• Colbi Victoria McAfee Sheldon, PT, DPT
• Krista L Sheldon, LCSW
• Kiryl Sheleg
• Sergey Sheleg, M.D.
• Ryan Shelhamer, MD
• Kensey R Sheline, ED.S
• Shell Chiropractic, Inc
• Nurit Shell
• Shelley K Nakamura MD PLLC

• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.

Verify at the official NPI Registry.