Individual provider Active NPI

Amber Nicole Langston, PA-C

  • Physician Assistant
  • Buckeye, AZ
National Provider Identifier
1437517877
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
11071 Issued in AZ
Practice address
1500 S Watson Rd Ste C104
Buckeye, AZ 85326-8689
Phone
(623) 251-7559
NPI assigned
Jan 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 11071 AZ Primary
Physician Assistant 363A00000X 106230 AK

Addresses

Primary practice location

1500 S Watson Rd Ste C104
Buckeye, AZ 85326-8689

Mailing address

129 N 175TH Ave
Goodyear, AZ 85338-4894
Phone (907) 792-9435

Other practice location 1

4320 Diplomacy Dr Ste 1121
Anchorage, AK 99508-5925
Phone (907) 729-3300

Other practice location 2

2751 DeBarr Rd Ste 280
Anchorage, AK 99508-6819
Phone (907) 222-1401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20171020002289 TX Practitioner - Physician Assistant 2961708805 Reassigns benefits to 2 organizations
I20250716001761 AZ Practitioner - Physician Assistant 2961708805 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians
Khakwani and Mohammad Medical PCGroup PAC ID 8527412659, 13 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Eagle River, AK 99577-8078
Phone (907) 694-8085

13840 W Camelback Rd
Suite 10
Litchfield Park, AZ 85340-3084
Phone (602) 853-4057

1500 S Watson Rd
Suite C104
Buckeye, AZ 85326-8689
Phone (623) 251-7559

17688 W Elliot Rd
Goodyear, AZ 85338-9009
Phone (623) 889-6823

18589 N 59TH Ave
Suite 101
Glendale, AZ 85308-1258
Phone (602) 547-2600

3229 E Greenway Rd
Suite 102
Phoenix, AZ 85032-4508
Phone (602) 788-3285

5410 W Thunderbird Rd
Suite 101
Glendale, AZ 85306-4711
Phone (602) 530-6189

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

9745 W Bell Rd
Suite 105
Sun City, AZ 85351-1371
Phone (623) 742-2999

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
70.1
Promoting interoperability
100
Improvement activities
40
Cost
83.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11071AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation Current Accepting new patients
Nextcare Arizona LLC CurrentSince Jan 1, 2026 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Jan 1, 2026 Accepting new patients
Khakwani and Mohammad Medical PC Physician Assistant CurrentSince Jul 1, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Sep 11, 2017 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation CurrentSince Sep 11, 2017 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Past Accepting new patients
Khakwani and Mohammad Medical PC Past Accepting new patients
Southcentral Foundation Past Accepting new patients

Locations

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

4320 Diplomacy Dr
Ste 1121
Anchorage, AK 99508
Phone (907) 729-4305

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

4320 Diplomacy Dr
Ste 1191
Anchorage, AK 99508
Phone (907) 729-3364

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1500 S Watson Rd
Ste C104
Buckeye, AZ 85326
Phone (623) 251-7559

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

5270 W Baseline Rd
Ste 145
Laveen, AZ 85339
Phone (602) 675-2843

13840 W Camelback Rd
Ste 10
Litchfield Park, AZ 85340
Phone (602) 853-4057

20542 N Lake Pleasant Rd
Ste 115
Peoria, AZ 85382
Phone (623) 476-5820

3540 E Baseline Rd
Ste 130
Phoenix, AZ 85042
Phone (480) 899-0767

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

13869 W Bell Rd
Ste 103B
Surprise, AZ 85374
Phone (623) 600-4466

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

2460 Paseo Verde Pkwy
Ste 145
Henderson, NV 89074

Interoperability endpoints

  • Direct secure messaging: alangston395941@pdshealth.direct-ci.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1437517877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 N 175TH AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853384894",
            "telephone_number": "907-792-9435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S WATSON RD STE C104",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853268689",
            "telephone_number": "623-251-7559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Diplomacy Dr Ste 1121",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085925",
            "country_code": "US",
            "telephone_number": "907-729-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2751 DeBarr Rd Ste 280",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995086819",
            "country_code": "US",
            "telephone_number": "907-222-1401",
            "fax_number": "907-222-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGSTON",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-31",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "11071",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "106230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.