Active NPI
Nicole Lynn Ferschke, PA
- Physician Assistant
- Mesa, AZ
National Provider Identifier
1447448097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3684
- Practice address
- 1138 N Alma School Rd
Ste 120
Mesa, AZ 85201-3002 - Phone
- (623) 293-0343
- NPI assigned
- Oct 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3684 | AZ | Primary |
Addresses
Primary practice location
1138 N Alma School Rd
Ste 120
Mesa, AZ 85201-3002
Mailing address
1138 N Alma School Rd Ste 120
Mesa, AZ 85201-3003
Phone (888) 306-5315
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 535401 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3684 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care Urgent Care Centers PLLC | Past | Accepting new patients | |
| Palo Verde Family Medicine PLLC | Past | Accepting new patients |
Interoperability endpoints
- nicole.ferschkepac.p1@direct.nextcare.nextgenshare.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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Family Medicine Physician
- Peoria, AZ
- NPI 1417222969
-
- Urgent Care Clinic/Center
- Peoria, AZ
- NPI 1093034589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547683200000",
"number": "1447448097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1138 N ALMA SCHOOL RD STE 120",
"city": "MESA",
"state": "AZ",
"postal_code": "852013003",
"telephone_number": "888-306-5315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1138 N ALMA SCHOOL RD",
"address_2": "STE 120",
"city": "MESA",
"state": "AZ",
"postal_code": "852013002",
"telephone_number": "623-293-0343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERSCHKE",
"first_name": "NICOLE",
"middle_name": "LYNN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2019-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "3684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "535401",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.