Individual provider Active NPI

Debra Barnes, WHCNP/FNP-BC

  • Primary Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1437316288
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4373 Issued in AZ
Practice address
2200 W Bethany Home Rd
Suite 1
Phoenix, AZ 85015-1997
Phone
(602) 841-4860
Fax
(602) 841-4861
NPI assigned
May 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4373 AZ Primary
Registered Nurse 163W00000X 070610 AZ
Nurse Practitioner 363L00000X 308 AZ

Addresses

Primary practice location

2200 W Bethany Home Rd
Suite 1
Phoenix, AZ 85015-1997

Mailing address

2200 W Bethany Home Rd
Suite 1
Phoenix, AZ 85015-1997
Phone (602) 841-4860

Other identifiers 1

IdentifierTypeStateIssuer
449571MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, DE, OH, NY, VA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20220614000199 NC Practitioner - Nurse Practitioner 2668625591 Reassigns benefits to 1 organization
I20231017000175 DE Practitioner - Nurse Practitioner 2668625591 Reassigns benefits to 1 organization
I20231116003580 OH Practitioner - Nurse Practitioner 2668625591 Reassigns benefits to 1 organization
I20240301001697 NY Practitioner - Nurse Practitioner 2668625591
I20240614003775 VA Practitioner - Nurse Practitioner 2668625591 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070610AZMDRegistered Nurse
4373AZMDEmergency Medicine Physician
308AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caremore Medical Group of North Carolina, PC CurrentSince May 15, 2025 Accepting new patients
Carelon Medical Partners of Kansas, PA Past Accepting new patients

Locations

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

1100 N Raleigh Blvd
Ste 130
Raleigh, NC 27610
Phone (919) 838-2887

Interoperability endpoints

  • Direct secure messaging: dbarnes19769@carelonhealth.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1437316288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W BETHANY HOME RD",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151997",
            "telephone_number": "602-841-4860",
            "fax_number": "602-841-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W BETHANY HOME RD",
            "address_2": "SUITE 1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850151997",
            "telephone_number": "602-841-4860",
            "fax_number": "602-841-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "DEBRA",
        "credential": "WHCNP/FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-20",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "4373",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "070610",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "308",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "449571",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.