Janelle Tyler Poole, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP3584 Issued in AZ

Practice address

5845 E Still Cir Ste 104
Mesa, AZ 85206-3635

Phone

(623) 334-4000

Fax

(623) 334-4400

NPI assigned

Mar 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Janelle Tyler Barney Former name

Medicare fee-for-service enrollment

Enrolled in ID

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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

David J Butuk MD PAGroup PAC ID 5698669422, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• David J Butuk MD PA

  • Family Medicine Physician
  • Meridian, ID
  • NPI 1710174800
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1508181900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20715 E OCOTILLO RD",
            "address_2": "SUITE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426118",
            "telephone_number": "480-987-0987",
            "fax_number": "480-987-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 E STILL CIR STE 104",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063635",
            "telephone_number": "623-334-4000",
            "fax_number": "623-334-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "JANELLE",
        "middle_name": "TYLER",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-29",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "BARNEY",
            "middle_name": "TYLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pongratz Orthotics & Prosthetics, Inc.
• Pongratz Physical Therapy, LLC
• Anissa L. Pongratz, MPT
• Charli Poole, MS RD
• De'Carlos Poole
• Melody Pope
• Nicholas Poplin
• Phyllis I Popp, DO
• Diane Harvey Porritt, M.S.P.T.
• Andrew Porter, PA-C

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.