Individual provider Active NPI

Shelby Janet Sabljic, AGACNP

  • Acute Care Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1568055614
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
254321 Issued in AZ
Practice address
13041 N del Webb Blvd Ste 140
Sun City, AZ 85351-3034
Phone
(480) 610-6100
NPI assigned
Feb 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 254321 AZ Primary

Addresses

Primary practice location

13041 N del Webb Blvd Ste 140
Sun City, AZ 85351-3034

Mailing address

13041 N del Webb Blvd Ste 140
Sun City, AZ 85351-3034
Phone (480) 610-6100

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
I20210818001523 AZ Practitioner - Nurse Practitioner 7113322892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwest Kidney Institute PLCGroup PAC ID 8224930987, 100 clinicians

Practice addresses (Care Compare)

7362 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-5028
Phone (602) 843-5455

Merit-based Incentive Payment System (MIPS)

Final score
89.02 of 100Reported as group
Quality
69.14
Promoting interoperability
100
Improvement activities
40
Cost
77.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Kidney Institute, PLC CurrentSince Sep 30, 2021 Accepting new patients
Southwest Kidney Institute, PLC CurrentSince Sep 30, 2021 Accepting new patients

Locations

7362 W Thunderbird Rd
Ste 103
Peoria, AZ 85381
Phone (480) 610-6152

7362 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (480) 610-6152

9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235

13041 N Del Webb Blvd
Ste 140
Sun City, AZ 85351

2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808

1845 W Orange Grove Rd
Ste 111
Tucson, AZ 85704
Phone (520) 329-8298

905 N Bowie Ave
Willcox, AZ 85643
Phone (520) 326-4811

Interoperability endpoints

  • Direct secure messaging: shelby.klein.1@2697.direct.athenahealth.com

Organizations & group practices 2

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": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1568055614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13041 N DEL WEBB BLVD STE 140",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513034",
            "telephone_number": "480-610-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13041 N DEL WEBB BLVD STE 140",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513034",
            "telephone_number": "480-610-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABLJIC",
        "first_name": "SHELBY",
        "middle_name": "JANET",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "254321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.