Nicole Barth, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP9877 Issued in AZ

Practice address

12361 W Bola Dr
Suite 109
Surprise, AZ 85378-9021

Phone

(623) 227-1000

NPI assigned

Mar 1, 2017

Last updated

Mar 1, 2017By the provider in NPPES

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

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Siren Medical PCGroup PAC ID 6608298419, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health Care Home health agency, Phoenix, AZ, CCN 037106
• Genesis Home Health LLC Home health agency, Peoria, AZ, CCN 037830
• Valley of the Sun Home Health Care, LLC Home health agency, Glendale, AZ, CCN 037405
• Suncrest Hospice Phoenix, LLC Hospice, Phoenix, AZ, CCN 031654
• United Hospice & Palliative Care of Arizona Hospice, Phoenix, AZ, CCN 031709

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Siren Medical PC

  • Geriatric Medicine (Family Medicine) Physician
  • Phoenix, AZ
  • NPI 1073148326

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Leading Healthcare Clinic of Goodyear LLC

  • Internal Medicine Physician
  • Goodyear, AZ
  • NPI 1902448566

  Family

  Medicare reassignment NPD
• Leading Healthcare, LLC

  • Hospitalist Physician
  • Sun City, AZ
  • NPI 1356853691
  Medicare reassignment NPD
• Senior Doc Arizona PC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1700477627
  Medicare reassignment NPD
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289

  AZ

  Medicare reassignment NPD
• Senior Doc Az Medical PC

  • Family Medicine Physician
  • Orange, CA
  • NPI 1790550895

  AZ

  Medicare reassignment NPD

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

• Genesis Home Health LLC

  • Home Health Agency
  • Peoria, AZ
  • NPI 1154038727
  Care Compare affiliation
• Suncrest Hospice Phoenix LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1326495789
  Care Compare affiliation
• Tender Loving Care Health Care Services Western, LLC

  dba Amedisys Home Health Care

  • Home Health Agency
  • Phoenix, AZ
  • NPI 1013961267
  Care Compare affiliation
• United Hospice & Palliative Care of Arizona LLC

  • Community Based Hospice Care Agency
  • Phoenix, AZ
  • NPI 1114562907
  Care Compare affiliation
• Valley of the Sun Home Healthcare, LLC

  • Home Health Agency
  • Glendale, AZ
  • NPI 1487970109
  Care Compare affiliation

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1417497066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR",
            "address_2": "SUITE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR",
            "address_2": "SUITE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTH",
        "first_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Alejandra Barraza de Santiago
• Ashley Barrera
• Jennifer A Barringer, L.P.N.
• Kassandra Barron-Guzman, FNP-C
• Alexis Barron
• Zachary Michael Bartlett, PA-C
• Riyadh L Bartolome
• Heather Ranee' Bartram
• April S Bass, PA
• Julia Bates, OTR

• Family Nurse Practitioner in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.