Active NPI
Elvira Metzger-Rush, PA-C
- Medical Physician Assistant
- Phoenix, AZ
National Provider Identifier
1487172177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 9531
- Practice address
- 925 E McDowell Road
Phoenix, AZ 85006-2502 - Phone
- (602) 521-3700
- Fax
- (602) 521-3701
- NPI assigned
- Sep 2, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 60917007 | WA | |
| Medical Physician Assistant | 363AM0700X | 9531 | AZ | Primary |
Addresses
Primary practice location
925 E McDowell Road
Phoenix, AZ 85006-2502
Mailing address
925 E McDowell Road
Phoenix, AZ 85006-2502
Phone (602) 521-3700
Other practice location 1
4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4001
Other names 1
- Willie Rush
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | emetzgerrush898113@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9531 | AZ | MD | Medical Physician Assistant |
| 60917007 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner Cancer Center Specialists LLC | Current | Accepting new patients |
Locations
2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450
925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498
Interoperability endpoints
- emetzgerrush898113@wm.providencedirect.org
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.
-
- Oncology Clinic/Center
- Payson, AZ
- NPI 1588158448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683331200000",
"number": "1487172177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "925 E MCDOWELL ROAD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062502",
"telephone_number": "602-521-3700",
"fax_number": "602-521-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 E MCDOWELL ROAD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062502",
"telephone_number": "602-521-3700",
"fax_number": "602-521-3701"
}
],
"practiceLocations": [
{
"address_1": "4311 11th Ave NE Ste 200",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981056367",
"country_code": "US",
"telephone_number": "206-616-4001",
"fax_number": "206-616-3889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "METZGER-RUSH",
"first_name": "ELVIRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-02",
"last_updated": "2023-05-06",
"certification_date": "2023-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "60917007",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "AZ",
"license": "9531",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "emetzgerrush898113@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "105 W 8th Ave Ste 6060",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992042312",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "WILLIE",
"last_name": "RUSH",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2023; 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.