Individual provider Active NPI

Vinessa Degon, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1487347332
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
301765 Issued in AZ
Practice address
1201 S 7TH Ave Ste 150
Phoenix, AZ 85007-4075
Phone
(602) 416-7600
NPI assigned
May 29, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN195693 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 301765 AZ Primary

Addresses

Primary practice location

1201 S 7TH Ave Ste 150
Phoenix, AZ 85007-4075

Mailing address

1201 S 7TH Ave Ste 150
Phoenix, AZ 85007-4075

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
I20240416002187 AZ Practitioner - Nurse Practitioner 4284073818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connectionsaz LLCGroup PAC ID 3072858745, 39 clinicians

Practice addresses (Care Compare)

1201 S 7TH Ave
Suite 150
Phoenix, AZ 85007-4075
Phone (602) 253-5100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Connectionsaz, LLC CurrentSince Feb 26, 2024 Accepting new patients
Connectionsaz, LLC CurrentSince Feb 26, 2024 Accepting new patients

Locations

1201 S 7th Ave
Ste 150A
Phoenix, AZ 85007

1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100

2390 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (703) 543-9948

Interoperability endpoints

  • Direct secure messaging: vinessa.degon@mmconnections.contexture.medalliesmail.com

Organizations & group practices 2

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": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1487347332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S 7TH AVE STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850074075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S 7TH AVE STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850074075",
            "telephone_number": "602-416-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGON",
        "first_name": "VINESSA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-29",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AZ",
            "license": "RN195693",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "301765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.