Active NPI
Jenny Haag, FNP-C
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP9890
- Practice address
- 4025 E Chandler Blvd Ste 42
Phoenix, AZ 85048-8832 - Phone
- (480) 677-8282
- Fax
- (888) 316-1686
- NPI assigned
- May 24, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP9890 | AZ | Primary |
Addresses
Primary practice location
4025 E Chandler Blvd Ste 42
Phoenix, AZ 85048-8832
Mailing address
261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257728 | Medicaid | AZ |
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
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4025 E Chandler Blvd
Suite 42
Phoenix, AZ 85048-8832
Phone (480) 677-8282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Wellness Resources | Family | Current | Accepting new patients |
| Sun Lakes Family Physicians LLC | Past | Accepting new patients |
Locations
333 N Dobson Rd
Ste 15
Chandler, AZ 85224
Phone (480) 282-8336
1455 W Chandler Blvd
Ste 4
Chandler, AZ 85224
Phone (480) 855-1946
7400 S Power Rd
Ste 140
Gilbert, AZ 85297
Phone (480) 590-1442
4545 E Southern Ave
Ste 103
Mesa, AZ 85206
Phone (480) 827-9945
7525 E Broadway Rd
Ste 2
Mesa, AZ 85208
Phone (480) 981-9800
4600 E Shea Blvd
Ste 100
Phoenix, AZ 85028
Phone (602) 955-8700
36543 N Gantzel Rd
Ste 102
San Tan Valley, AZ 85140
Phone (480) 401-1811
3501 N Scottsdale Rd
Ste 231
Scottsdale, AZ 85251
Phone (480) 945-3873
10450 E Riggs Rd
Ste 114
Sun Lakes, AZ 85248
Phone (480) 505-2450
Interoperability endpoints
- jenny.haag.1@27041.direct.athenahealth.com
- https://api.platform.athenahealth.com/27041/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1144764432
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1568116291
-
- Family Medicine Physician
- Sun Lakes, AZ
- NPI 1952392581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1649628280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 N ROOSEVELT AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262617",
"telephone_number": "480-677-8282",
"fax_number": "888-316-1686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 E CHANDLER BLVD STE 42",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488832",
"telephone_number": "480-677-8282",
"fax_number": "888-316-1686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAG",
"first_name": "JENNY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP9890",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257728",
"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 May 15, 2026; 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.