Individual provider Active NPI

Savannah Grassel, PA-C

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1508716119
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1243232
Practice address
1635 E Myrtle Ave Ste 400
Phoenix, AZ 85020-5514
Phone
(602) 944-2900
Fax
(602) 944-0064
NPI assigned
Feb 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1243232 Primary

Addresses

Primary practice location

1635 E Myrtle Ave Ste 400
Phoenix, AZ 85020-5514

Mailing address

1635 E Myrtle Ave Ste 400
Phoenix, AZ 85020-5514
Phone (602) 944-2900

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
I20260616002952 AZ Practitioner - Physician Assistant 5395217814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Creighton University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Institute for Spine Care PCGroup PAC ID 1951347475, 13 clinicians

Practice addresses (Care Compare)

1635 E Myrtle Ave
Suite 400
Phoenix, AZ 85020-5514
Phone (602) 944-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1769990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1508716119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 E MYRTLE AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205514",
            "telephone_number": "602-944-2900",
            "fax_number": "602-944-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 E MYRTLE AVE STE 400",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205514",
            "telephone_number": "602-944-2900",
            "fax_number": "602-944-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASSEL",
        "first_name": "SAVANNAH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-02",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "1243232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.