Individual provider Active NPI

Angela R Allen-Zaugg, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1669951836
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
316752 Issued in AZ
Practice address
9115 E Baseline Rd Ste 103
Mesa, AZ 85209-7764
Phone
(480) 202-4611
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN109702 AZ
Family Nurse Practitioner 363LF0000X 316752 AZ Primary

Addresses

Primary practice location

9115 E Baseline Rd Ste 103
Mesa, AZ 85209-7764

Mailing address

9115 E Baseline Rd Ste 103
Mesa, AZ 85209-7764
Phone (480) 202-4611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 22, 2025 through Apr 22, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN109702AZMDSchool Registered Nurse
316752AZMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: zwellhealthandwellness.angelaallenzaugg@159982.advancedmd-direct.com

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1669951836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9115 E BASELINE RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097764",
            "telephone_number": "480-202-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9115 E BASELINE RD STE 103",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852097764",
            "telephone_number": "480-202-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN-ZAUGG",
        "first_name": "ANGELA",
        "middle_name": "R",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN109702",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "316752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.