Individual provider Active NPI

Nicole Hensey, MS, PA-C

  • Medical Physician Assistant
  • Chandler, AZ
National Provider Identifier
1427454784
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5835 Issued in AZ
Practice address
1940 N. Alma School Rd.
Chandler, AZ 85224
Phone
(480) 890-0280
Fax
(480) 890-2047
NPI assigned
Nov 14, 2014
Last updated
Jan 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5835 AZ Primary

Addresses

Primary practice location

1940 N. Alma School Rd.
Chandler, AZ 85224

Mailing address

1940 N. Alma School Rd.
Chandler, AZ 85224
Phone (480) 890-0280

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
I20141217000787 AZ Practitioner - Physician Assistant 3870816150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Discover Vein and Vascular Center PLLCGroup PAC ID 3173784907, 2 clinicians

Practice addresses (Care Compare)

135 S Power Rd
Mesa, AZ 85206-5245
Phone (480) 745-8577

1840 W Chandler Blvd
Suite D2
Chandler, AZ 85224-6201
Phone (480) 745-8577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
5835AZMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Partners & Management LLC Past Accepting new patients
Swarup LLC Past Accepting new patients
Discover Surgical Center LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nicole.hensey.1@30133.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1427454784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 N. ALMA SCHOOL RD.",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-890-0280",
            "fax_number": "480-890-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 N. ALMA SCHOOL RD.",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "85224",
            "telephone_number": "480-890-0280",
            "fax_number": "480-890-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSEY",
        "first_name": "NICOLE",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.