Individual provider Active NPI

Amy Kathryn Wifler, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1417770264
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10761 Issued in AZ
Practice address
3811 E Bell Rd Ste 300
Phoenix, AZ 85032-2160
Phone
(480) 454-7350
NPI assigned
Oct 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10761 AZ Primary

Addresses

Primary practice location

3811 E Bell Rd Ste 300
Phoenix, AZ 85032-2160

Mailing address

3811 E Bell Rd Ste 300
Phoenix, AZ 85032-2160
Phone (480) 236-9553

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
I20241220001923 AZ Practitioner - Physician Assistant 9931636560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

3125 N Dysart Rd
Avondale, AZ 85392-1208
Phone (623) 882-9161

3811 E Bell Rd
Phoenix, AZ 85032-2160

3929 E Bell Rd
Phoenix, AZ 85032-2112
Phone (602) 274-6506

5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-0039

Hospital & facility affiliations

  • Abrazo Scottsdale Campus Hospital, Phoenix, AZ, CCN 030083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Dec 16, 2024 Accepting new patients

Locations

3125 N Dysart Rd
Avondale, AZ 85392
Phone (623) 882-9161

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

Interoperability endpoints

  • Direct secure messaging: amy.wifler.1@600.direct.athenahealth.com

Organizations & group practices 1

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": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1417770264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322160",
            "telephone_number": "480-236-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3811 E BELL RD STE 300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322160",
            "telephone_number": "480-454-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIFLER",
        "first_name": "AMY",
        "middle_name": "KATHRYN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "10761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.