Active NPI
Kassandra Nunez, PA-C
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7963
- Practice address
- 926 E McDowell Rd Ste 134
Phoenix, AZ 85006-2521 - Phone
- (602) 288-0777
- NPI assigned
- Mar 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 7963 | AZ | Primary |
Addresses
Primary practice location
926 E McDowell Rd Ste 134
Phoenix, AZ 85006-2521
Mailing address
4001 N Central Ave Apt 242
Phoenix, AZ 85012-2140
Phone (201) 835-8788
Other practice location 1
5850 E Still Cir
Mesa, AZ 85206-3618
Phone (480) 219-6000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1175067 | Other | NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS | |
| 7963 | Other | AZ | ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12775 W Bell Rd
Suite 100
Surprise, AZ 85378-9770
Phone (623) 215-0082
1507 N Litchfield Rd
Suite 200
Goodyear, AZ 85395-1201
Phone (623) 215-0040
1515 E Bethany Home Rd
Suite 120B
Phoenix, AZ 85014-2496
Phone (602) 812-3080
17015 N 7TH St
Suite 100
Phoenix, AZ 85022-2436
Phone (602) 368-1403
18404 N Tatum Blvd
Suite 101C
Phoenix, AZ 85032-1511
Phone (602) 992-1900
24874 N 67TH Ave
Suite 101
Peoria, AZ 85383-4245
Phone (602) 598-4700
2720 W Baseline Rd
Suite 140
Tempe, AZ 85283-1065
Phone (602) 777-6000
3648 W Anthem Way
BLDG a 100C
Anthem, AZ 85086-7001
Phone (623) 434-6444
3730 W Happy Valley Rd
Suite 100
Glendale, AZ 85310-3283
Phone (623) 277-4140
5130 W Baseline Rd
Suite 102
Laveen, AZ 85339-2984
Phone (602) 237-7373
7730 E McDowell Rd
Suite 101
Scottsdale, AZ 85257-3772
Phone (480) 699-3314
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.21 of 100
- Quality
- 77.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7963 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Honorhealth Urgent Care, LLC | Current | Accepting new patients | |
| Honorhealth-Fastmed Ambulatory Holdings LLC | Past | Accepting new patients |
Locations
3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444
1507 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 215-0040
5130 W Baseline Rd
Ste 10
Laveen, AZ 85339
1810 S Power Rd
Ste 101
Mesa, AZ 85206
Phone (480) 214-0045
10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030
2860 W Peoria Ave
Ste B
Phoenix, AZ 85029
Phone (602) 283-0595
1515 E Bethany Home Rd
Ste 120B
Phoenix, AZ 85014
Phone (480) 324-7231
17015 N 7th St
Ste 100
Phoenix, AZ 85022
Phone (602) 368-1403
12775 W Bell Rd
Ste 100
Surprise, AZ 85378
Phone (623) 215-0082
725 S Rural Rd
Ste 120
Tempe, AZ 85288
Phone (480) 214-0622
9870 W Lower Buckeye Rd
Tolleson, AZ 85353
Interoperability endpoints
- knunez543439@direct.honorhealth.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.
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1740273614
-
- Urgent Care Clinic/Center
- Scottsdale, AZ
- NPI 1700423415
-
- Urgent Care Clinic/Center
- Surprise, AZ
- NPI 1467069047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605139200000",
"number": "1639639636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4001 N CENTRAL AVE APT 242",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122140",
"telephone_number": "201-835-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 E MCDOWELL RD STE 134",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062521",
"telephone_number": "602-288-0777"
}
],
"practiceLocations": [
{
"address_1": "5850 E Still Cir",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852063618",
"country_code": "US",
"telephone_number": "480-219-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUNEZ",
"first_name": "KASSANDRA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-25",
"last_updated": "2020-11-12",
"certification_date": "2020-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "7963",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS",
"identifier": "1175067",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA REGULATORY BOARD OF PHYSICIAN ASSISTANTS",
"identifier": "7963",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.