Individual provider Active NPI

Katherine Marie Schaub, DNP, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1538686654
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10543 Issued in AZ
Practice address
52 E Monterey Way
Phoenix, AZ 85012-2628
Phone
(602) 604-9500
Fax
(602) 631-9303
NPI assigned
Aug 29, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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 AP10543 AZ Primary

Addresses

Primary practice location

52 E Monterey Way
Phoenix, AZ 85012-2628

Mailing address

52 E Monterey Way
Phoenix, AZ 85012-2628
Phone (602) 604-9500

Other names 1

  • Katherine Wagner Former name

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
I20171212001115 AZ Practitioner - Nurse Practitioner 4880952266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Medical Care CenterGroup PAC ID 9739590076, 8 clinicians

Practice addresses (Care Compare)

52 E Monterey Way
Phoenix, AZ 85012-2628
Phone (602) 604-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10543AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Medical Care Center CurrentSince Jun 10, 2022 Accepting new patients

Locations

52 E Monterey Way
Ste A
Phoenix, AZ 85012
Phone (480) 930-4353

52 E Monterey Way
Phoenix, AZ 85012
Phone (602) 264-7273

200 E Monterey Way
Phoenix, AZ 85012

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1538686654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 E MONTEREY WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122628",
            "telephone_number": "602-604-9500",
            "fax_number": "602-631-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 E MONTEREY WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122628",
            "telephone_number": "602-604-9500",
            "fax_number": "602-631-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAUB",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "WAGNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.