Individual provider Active NPI

Neerja Sethi, NP

  • Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1649390709
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN119900 Issued in AZ
Practice address
459 N Gilbert Rd
Suite D-160
Gilbert, AZ 85234-4591
Phone
(480) 539-8680
Fax
(480) 539-1763
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN119900 AZ Primary

Addresses

Primary practice location

459 N Gilbert Rd
Suite D-160
Gilbert, AZ 85234-4591

Mailing address

459 N Gilbert Rd
Suite D-160
Gilbert, AZ 85234-4591
Phone (480) 539-8680

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
I20110105000681 AZ Practitioner - Nurse Practitioner 2769671890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Medical Group LLCGroup PAC ID 1153693379, 7 clinicians

Practice addresses (Care Compare)

652 E Warner Rd
Suite 107
Gilbert, AZ 85296-3073
Phone 4805398680123

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.66 of 100Reported as group
Quality
100
Improvement activities
40
Cost
68.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN119900AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Medical Group, LLC CurrentSince Sep 1, 2017 Accepting new patients

Locations

652 E Warner Rd
Ste 107
Gilbert, AZ 85296
Phone (480) 539-8680

Interoperability endpoints

  • Direct secure messaging: neerja.sethi.p1@direct.primemedicalgroup.nextgenshare.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649390709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 N GILBERT RD",
            "address_2": "SUITE D-160",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344591",
            "telephone_number": "480-539-8680",
            "fax_number": "480-539-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 N GILBERT RD",
            "address_2": "SUITE D-160",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852344591",
            "telephone_number": "480-539-8680",
            "fax_number": "480-539-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETHI",
        "first_name": "NEERJA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN119900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.