Individual provider Active NPI

Michelle Zyla, MSN APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1467165670
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
284149 Issued in AZ
Practice address
32298 N 133Rd Ave
Peoria, AZ 85383-6097
Phone
(973) 809-5865
NPI assigned
Jan 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 284149 AZ Primary

Addresses

Primary practice location

32298 N 133Rd Ave
Peoria, AZ 85383-6097

Mailing address

32298 N 133Rd Ave
Peoria, AZ 85383-6097
Phone (973) 809-5865

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
I20230606000434 AZ Practitioner - Nurse Practitioner 3577920719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1110 E Missouri Ave
Suite 340
Phoenix, AZ 85014-2753
Phone (602) 357-9986

4801 S Lakeshore Dr
Suite 207
Tempe, AZ 85282-7157
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
284149AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Apr 4, 2024 Accepting new patients

Locations

1110 E Missouri Ave
Ste 340
Phoenix, AZ 85014
Phone (602) 357-9986

4801 S Lakeshore Dr
Ste 207
Tempe, AZ 85282
Phone (623) 323-8962

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Interoperability endpoints

  • Direct secure messaging: michelle.zyla.1@28601.direct.athenahealth.com

Organizations & group practices 1

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": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1467165670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32298 N 133RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836097",
            "telephone_number": "973-809-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32298 N 133RD AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836097",
            "telephone_number": "973-809-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYLA",
        "first_name": "MICHELLE",
        "credential": "MSN APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "284149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.