Individual provider Active NPI

Krystal Marie Scales, PA-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1518404177
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9755 Issued in AZ
Practice address
3686 S Rome St
Gilbert, AZ 85297-7341
Phone
(480) 890-7705
Fax
(480) 398-8095
NPI assigned
Jan 20, 2017
Last updated
Jan 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9755 AZ Primary

Addresses

Primary practice location

3686 S Rome St
Gilbert, AZ 85297-7341

Mailing address

PO Box 6423
Chandler, AZ 85246-6423

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
I20170621000559 AZ Practitioner - Nurse Practitioner 9032487764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Physicians PCGroup PAC ID 3577454842, 115 clinicians

Practice addresses (Care Compare)

3686 S Rome St
Gilbert, AZ 85297-7338
Phone (480) 890-7705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
44.32 of 100Reported as group
Quality
56.63
Promoting interoperability
0
Improvement activities
0
Cost
69.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Family Care Center LLC CurrentSince Apr 23, 2017 Accepting new patients
Ironwood Physicians, PC CurrentSince Jan 8, 2024 Accepting new patients
Ironwood Physicians, PC CurrentSince Jan 8, 2024 Accepting new patients

Locations

3686 S Rome St
Gilbert, AZ 85297
Phone (480) 792-6006

1100 E Monroe St
Ste 101
Globe, AZ 85501
Phone (928) 425-3557

1100 N Broad St
Globe, AZ 85501
Phone (480) 685-1147

6111 E Arbor Ave
Mesa, AZ 85206
Phone (480) 981-1326

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIBJBA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGBDCA

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1484870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1518404177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3686 S ROME ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977341",
            "telephone_number": "480-890-7705",
            "fax_number": "480-398-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALES",
        "first_name": "KRYSTAL",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-20",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.