Individual provider Active NPI

Terrie Lyn Pasch, PA-C

  • Physician Assistant
  • Sun City, AZ
National Provider Identifier
1447536180
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
13203 N 103Rd Ave Ste H5
Sun City, AZ 85351-3032
Phone
(623) 777-4747
Fax
(623) 777-4748
NPI assigned
Oct 26, 2011
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4949 AZ
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

13203 N 103Rd Ave Ste H5
Sun City, AZ 85351-3032

Mailing address

13203 N 103Rd Ave
Ste H5
Sun City, AZ 85351-3032
Phone (623) 334-4000

Other practice location 1

14420 W Meeker Blvd Ste 211
Sun City West, AZ 85375-5288
Phone (623) 777-4747

Other practice location 2

14300 W Granite Valley Dr Ste A1
Sun City West, AZ 85375-5797
Phone (623) 777-4747

Other identifiers 1

IdentifierTypeStateIssuer
909754MedicaidAZ

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
I20111228000447 AZ Practitioner - Physician Assistant 2668648445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novaspine Pain Institute PLCGroup PAC ID 9931323359, 20 clinicians

Practice addresses (Care Compare)

13203 N 103Rd Ave
Sun City, AZ 85351-3032
Phone (623) 777-4747

14300 W Granite Valley Dr
Suite A1
Sun City West, AZ 85375-5797
Phone (623) 777-4747

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novaspine Pain Institute, PLC CurrentSince May 30, 2017 Accepting new patients
Novaspine Pain Institute, PLC CurrentSince May 30, 2017 Accepting new patients
Arizona Neurological Institute, PC Past Accepting new patients

Locations

13203 N 103rd Ave
Ste H5
Sun City, AZ 85351
Phone 62377747474789

13640 N 99th Ave
Ste 100
Sun City, AZ 85351
Phone (602) 463-4872

13203 N 103rd Ave
Ste H4
Sun City, AZ 85351

14420 W Meeker Blvd
Ste 211
Sun City West, AZ 85375

14300 W Granite Valley Dr
Ste A1
Sun City West, AZ 85375
Phone (602) 546-4934

Organizations & group practices 3

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": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1447536180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE",
            "address_2": "STE H5",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513032",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13203 N 103RD AVE STE H5",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513032",
            "telephone_number": "623-777-4747",
            "fax_number": "623-777-4748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14420 W Meeker Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755288",
            "country_code": "US",
            "telephone_number": "623-777-4747",
            "fax_number": "623-777-4748",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14300 W Granite Valley Dr Ste A1",
            "address_purpose": "LOCATION",
            "city": "Sun City West",
            "state": "AZ",
            "postal_code": "853755797",
            "country_code": "US",
            "telephone_number": "623-777-4747",
            "fax_number": "623-777-4748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASCH",
        "first_name": "TERRIE",
        "middle_name": "LYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4949",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "909754",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.