Individual provider Active NPI

Amy Mandile, DNP-FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1437778933
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP240334 Issued in AZ
Practice address
40 E Mitchell Dr Ste 100&200
Phoenix, AZ 85012-2330
Phone
(602) 685-6000
Fax
(602) 264-4095
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RNP240334 AZ Primary

Addresses

Primary practice location

40 E Mitchell Dr Ste 100&200
Phoenix, AZ 85012-2330

Mailing address

3003 N Central Ave Ste 400
Phoenix, AZ 85012-2929
Phone (602) 685-6000

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
I20200702000919 AZ Practitioner - Nurse Practitioner 8426470170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Park Health CenterGroup PAC ID 8325949647, shared by 11 NPIs, 117 clinicians

Practice addresses (Care Compare)

3830 E Van Buren St
Phoenix, AZ 85008-6920
Phone (602) 243-7277

635 E Baseline Rd
Phoenix, AZ 85042-6551
Phone (602) 243-7277

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RNP240334AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Park Health Center CurrentSince Jul 6, 2020 Accepting new patients
Adelante Healthcare, Inc CurrentSince Feb 20, 2026 Accepting new patients
Adelante Healthcare Inc CurrentSince Feb 20, 2026 Accepting new patients
Mountain Park Health Center CurrentSince Jul 6, 2020 Accepting new patients
Mountain Park Health Center - Dental Past Accepting new patients

Locations

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

635 E Baseline Rd
Phoenix, AZ 85042

3830 E Van Buren St
Phoenix, AZ 85008
Phone (602) 806-6655

3003 N Central Ave
Ste 1600
Phoenix, AZ 85012
Phone (602) 323-3492

Organizations & group practices 7

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1437778933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122929",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E MITCHELL DR STE 100&200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122330",
            "telephone_number": "602-685-6000",
            "fax_number": "602-264-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDILE",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP240334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.