Individual provider Active NPI

Chris Ann Dipaola

  • Family Nurse Practitioner
  • Lake Havasu City, AZ
National Provider Identifier
1669836748
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP9834 Issued in AZ
Practice address
1810 Mesquite Ave
Lake Havasu City, AZ 86403-5886
Phone
(928) 453-4600
NPI assigned
Apr 5, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 NP95004032 CA
Family Nurse Practitioner 363LF0000X NP9834 AZ Primary

Addresses

Primary practice location

1810 Mesquite Ave
Lake Havasu City, AZ 86403-5886

Mailing address

1810 Mesquite Ave
Lake Havasu City, AZ 86403-5886
Phone (928) 453-4600

Other practice location 1

100 Lake Traverse Dr
Sisseton, SD 57262-7046
Phone (605) 698-7606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170119000894 AZ Practitioner - Nurse Practitioner 2769623818 Reassigns benefits to 2 organizations
I20240808004838 TX Practitioner - Nurse Practitioner 2769623818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.6 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP9834AZMDFamily Nurse Practitioner
NP95004032CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HRMC, LLC Current Accepting new patients
Woodrow Wilson Keeble Memorial Health Care Center CurrentSince Jul 22, 2024 Accepting new patients
Nextcare Arizona LLC CurrentSince Jan 17, 2017 Accepting new patients
HRMC, LLC CurrentSince Oct 6, 2020 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
HRMC, LLC Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

1799 Kiowa Ave
Ste 104
Lake Havasu City, AZ 86403
Phone (928) 505-1030

1851 Mesquite Ave
Ste 112
Lk Havasu Cty, AZ 86403
Phone (928) 453-0111

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

1851 Mesquite Ave
Ste 202
Lk Havasu Cty, AZ 86403
Phone (928) 854-0094

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

100 Lake Traverse Dr
Sisseton, SD 57262

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19231/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1669836748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035886",
            "telephone_number": "928-453-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035886",
            "telephone_number": "928-453-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Lake Traverse Dr",
            "address_purpose": "LOCATION",
            "city": "Sisseton",
            "state": "SD",
            "postal_code": "572627046",
            "country_code": "US",
            "telephone_number": "605-698-7606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIPAOLA",
        "first_name": "CHRIS",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-05",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95004032",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "NP9834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.