Individual provider Active NPI

Jenny Haag, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1649628280
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9890 Issued in AZ
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

Updated by the provider on May 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
257728MedicaidAZ

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
I20170504001270 AZ Practitioner - Nurse Practitioner 3072806793 Reassigns benefits to 1 organization

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
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

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

OrganizationSpecialtyStatusNew patients
Access Wellness Resources Family CurrentSince Jul 1, 2024 Accepting new patients
Sun Lakes Family Physicians LLC PastSince May 1, 2001 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

  • Direct secure messaging: jenny.haag.1@27041.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.