Individual provider Active NPI

Berinyuy Rita Ngwang

  • Psychiatric/Mental Health Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1619767944
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
269664 Issued in AZ
Practice address
10908 W Harrison St
Avondale, AZ 85323-4549
Phone
(323) 925-8988
NPI assigned
May 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 269664 AZ Primary

Addresses

Primary practice location

10908 W Harrison St
Avondale, AZ 85323-4549

Mailing address

10908 W Harrison St
Avondale, AZ 85323-4549
Phone (323) 925-8988

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
I20251106003579 AZ Practitioner - Nurse Practitioner 7113417254 Reassigns benefits to 2 organizations
Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Group Providers LLCGroup PAC ID 9335430693, 24 clinicians

Practice addresses (Care Compare)

1500 N Priest Dr
Suite 109
Tempe, AZ 85288-1213
Phone (602) 734-5664

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269664AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Group Providers, LLC CurrentSince Sep 1, 2025 Accepting new patients
Sash Healthcare LLC CurrentSince May 11, 2025 Accepting new patients
Sash Healthcare LLC Psychiatric/Mental Health CurrentSince Nov 18, 2025 Accepting new patients

Locations

2320 W Peoria Ave
Ste C122
Phoenix, AZ 85029
Phone (323) 925-8988

1500 N Priest Dr
Ste 109
Tempe, AZ 85288

Interoperability endpoints

  • Direct secure messaging: berinyuy.ngwang.1@24259.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1619767944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10908 W HARRISON ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853234549",
            "telephone_number": "323-925-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10908 W HARRISON ST",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853234549",
            "telephone_number": "323-925-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGWANG",
        "first_name": "BERINYUY",
        "middle_name": "RITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "269664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.