Individual provider Active NPI

Susan Elna Vovakes, RN,MS FNP-C

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1598158131
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
297 Issued in AZ
Practice address
1750 E Broadway Rd
Tempe, AZ 85282-1612
Phone
(480) 557-0970
NPI assigned
Mar 6, 2015
Last updated
Mar 6, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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 297 AZ Primary

Addresses

Primary practice location

1750 E Broadway Rd
Tempe, AZ 85282-1612

Mailing address

1750 E Broadway Rd
Tempe, AZ 85282-1612
Phone (480) 557-0970

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
I20150603003190 AZ Practitioner - Nurse Practitioner 3476874389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

1212 S Greenfield Rd
Mesa, AZ 85206-2792
Phone (866) 389-2727

1610 E Camelback Rd
Phoenix, AZ 85016-3902
Phone (866) 389-2727

1750 E Broadway Rd
Tempe, AZ 85282-1612
Phone (866) 389-2727

28138 N Tatum Blvd
Cave Creek, AZ 85331-6303
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
297AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Jun 1, 2015 Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

1810 E Camelback Rd
Phoenix, AZ 85016

1750 E Broadway Rd
Tempe, AZ 85282
Phone (480) 252-4563

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1598158131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821612",
            "telephone_number": "480-557-0970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821612",
            "telephone_number": "480-557-0970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOVAKES",
        "first_name": "SUSAN",
        "middle_name": "ELNA",
        "credential": "RN,MS FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.