Active NPI
Angela Schilling-Koons, NP
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1508098716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3448
- Practice address
- 2510 W Dunlap Ave
Ste 290
Phoenix, AZ 85021-2737 - Phone
- (602) 789-0344
- Fax
- (602) 789-8389
- NPI assigned
- Aug 20, 2009
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP3448 | AZ | Primary |
Addresses
Primary practice location
2510 W Dunlap Ave
Ste 290
Phoenix, AZ 85021-2737
Mailing address
2510 W Dunlap Ave
Ste 290
Phoenix, AZ 85021-2737
Phone (602) 789-0344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470595 | Medicaid | AZ |
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: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3448 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Acute Medical Services 1 PC | Past | Accepting new patients |
Interoperability endpoints
- aschillingkoons2709323@oc.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.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1508098716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2510 W DUNLAP AVE",
"address_2": "STE 290",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850212737",
"telephone_number": "602-789-0344",
"fax_number": "602-789-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 W DUNLAP AVE",
"address_2": "STE 290",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850212737",
"telephone_number": "602-789-0344",
"fax_number": "602-789-8389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHILLING-KOONS",
"first_name": "ANGELA",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-20",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP3448",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "470595",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}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 Apr 17, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.