Organization Active NPI

Jeanann Schwark, Ms, FNP-C, PLLC

  • Women's Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1649697053
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN 049446 AP1637 Issued in AZ
Legal business name
JEANANN SCHWARK, MS, FNP-C, PLLC
Practice address
10615 N Hayden Rd # C-100
Scottsdale, AZ 85260-5734
Phone
(480) 825-7941
Fax
(480) 825-7945
NPI assigned
Mar 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Ms. Jeanann Schwark, MS, FNP-CNPI 1659372472
Title
Owner
Phone
(480) 825-7941

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X RN 049446 AP1637 AZ
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X RN 049446 AP1637 AZ Primary
Obstetrics & Gynecology Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LX0001X RN 049446 AP1637 AZ

Addresses

Primary practice location

10615 N Hayden Rd # C-100
Scottsdale, AZ 85260-5734

Mailing address

10615 N Hayden Rd # C-100
Scottsdale, AZ 85260-5734
Phone (480) 825-7941

Other identifiers 2

IdentifierTypeStateIssuer
836471MedicaidAZ
1659372472OtherAZINDIVIDUAL PROVIDER NPI

Other names 1

  • Serenity Women's Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140616002388 AZ Part B Supplier - Clinic/Group Practice 2567686470 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2075783Jeanann Schwark, Ms FNP-C10615 N Hayden Rd Ste C-100, Scottsdale, AZ 85260Provider-performed microscopyApr 3, 2028

National Provider Directory

National Provider Directory

Locations

8070 E Morgan Trl
Ste 120
Scottsdale, AZ 85258
Phone (480) 825-7941

10615 N Hayden Rd
Ste 100C
Scottsdale, AZ 85260
Phone (480) 825-7941

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1649697053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10615 N HAYDEN RD # C-100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605734",
            "telephone_number": "480-825-7941",
            "fax_number": "480-825-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 N HAYDEN RD # C-100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852605734",
            "telephone_number": "480-825-7941",
            "fax_number": "480-825-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANANN SCHWARK, MS, FNP-C, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "SCHWARK",
        "authorized_official_first_name": "JEANANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-825-7941",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN 049446 AP1637",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "RN 049446 AP1637",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "RN 049446 AP1637",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836471",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PROVIDER NPI",
            "identifier": "1659372472",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serenity Women's Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serenity Women's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.