Individual provider Active NPI

Rachel Klimala Nagy, FNP-BC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1609268598
Registry record updated Feb 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7777 Issued in AZ
Practice address
6622 S 41St LN
Phoenix, AZ 85041-4948
Phone
(602) 448-2916
Fax
(602) 237-2567
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN162102 AZ
Family Nurse Practitioner 363LF0000X AP7777 AZ Primary

Addresses

Primary practice location

6622 S 41St LN
Phoenix, AZ 85041-4948

Mailing address

105 S Delaware Dr Ste 1&2
Apache Junction, AZ 85120-6511
Phone (480) 646-1001

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
I20170316000561 AZ Practitioner - Nurse Practitioner 1850676792 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN162102AZMDRegistered Nurse
AP7777AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ceb Capital LLC CurrentSince Apr 28, 2020 Accepting new patients
Ceb Capital LLC CurrentSince Apr 28, 2020 Accepting new patients

Locations

4502 W Indian School Rd
Ste A3
Phoenix, AZ 85031
Phone (623) 247-0414

9150 W Indian School Rd
Ste 111B
Phoenix, AZ 85037
Phone (623) 247-2300

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": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487462400000",
    "number": "1609268598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S DELAWARE DR STE 1&2",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "851206511",
            "telephone_number": "480-646-1001",
            "fax_number": "480-646-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6622 S 41ST LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850414948",
            "telephone_number": "602-448-2916",
            "fax_number": "602-237-2567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGY",
        "first_name": "RACHEL",
        "middle_name": "KLIMALA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2017-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN162102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.