Individual provider Active NPI

Jeanann Schwark, MS, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1659372472
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1637 Issued in AZ
Practice address
8070 E Morgan TRL
Suite 120
Scottsdale, AZ 85258-1227
Phone
(480) 825-7941
Fax
(480) 825-7945
NPI assigned
Aug 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP1637 AZ Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP1637 AZ

Addresses

Primary practice location

8070 E Morgan TRL
Suite 120
Scottsdale, AZ 85258-1227

Mailing address

8070 E Morgan TRL
Suite 120
Scottsdale, AZ 85258-1227
Phone (480) 825-7941

Other identifiers 1

IdentifierTypeStateIssuer
836471MedicaidAZ

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
I20040224000871 AZ Practitioner - Nurse Practitioner 0840186144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeanann Schwark, Ms, FNP-C, PLLC Family CurrentSince Apr 5, 2014 Accepting new patients

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

Interoperability endpoints

  • Direct secure messaging: jeanann.schwark.1@25630.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1659372472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 E MORGAN TRL",
            "address_2": "SUITE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581227",
            "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": "8070 E MORGAN TRL",
            "address_2": "SUITE 120",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581227",
            "telephone_number": "480-825-7941",
            "fax_number": "480-825-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARK",
        "first_name": "JEANANN",
        "name_prefix": "Ms.",
        "credential": "MS, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1637",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "AP1637",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "836471",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.