Active NPI
Angela R Allen-Zaugg, FNP-C
- Family Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1669951836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 316752
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN109702 | AZ | MD | School Registered Nurse |
| 316752 | AZ | MD | Family Nurse Practitioner |
Interoperability endpoints
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.