Individual provider Active NPI

Zobia Zafar Wasielczyk, PA

  • Physician Assistant
  • Laveen, AZ
National Provider Identifier
1659952513
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9554 Issued in AZ
Practice address
3552 W Baseline Rd Ste 140
Laveen, AZ 85339-3042
Phone
(602) 635-6951
Fax
(602) 635-6952
NPI assigned
Apr 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9554 AZ Primary

Addresses

Primary practice location

3552 W Baseline Rd Ste 140
Laveen, AZ 85339-3042

Mailing address

3552 W Baseline Rd Ste 240
Laveen, AZ 85339-3042
Phone (602) 635-6941

Other practice location 1

16928 W Bell Rd Ste 701
Surprise, AZ 85374-8948
Phone (602) 850-0026

Other names 1

  • Zobia Zafar Other name

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
I20230317000752 AZ Practitioner - Physician Assistant 7911371703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Utah School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

3151 N Windsong Dr
Prescott Valley, AZ 86314-2240
Phone (928) 458-7583

3552 W Baseline Rd
Suite 140
Laveen, AZ 85339-3042
Phone (602) 635-6941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Moblie Health Care Solutions, LLC Past Accepting new patients

Organizations & group practices 2

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1659952513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 W BASELINE RD STE 240",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393042",
            "telephone_number": "602-635-6941",
            "fax_number": "602-635-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3552 W BASELINE RD STE 140",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393042",
            "telephone_number": "602-635-6951",
            "fax_number": "602-635-6952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16928 W Bell Rd Ste 701",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748948",
            "country_code": "US",
            "telephone_number": "602-850-0026",
            "fax_number": "623-850-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASIELCZYK",
        "first_name": "ZOBIA",
        "middle_name": "ZAFAR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-20",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZOBIA",
            "last_name": "ZAFAR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Laveen, AZ

Sources for this page

Verify at the official NPI Registry.