Individual provider Active NPI

Isabella Izdebski

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1679017586
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9725 Issued in AZ
Practice address
1120 S Dobson Rd Ste B100
Chandler, AZ 85286-6165
Phone
(480) 830-3900
Fax
(480) 830-3901
NPI assigned
Dec 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9725 AZ Primary

Addresses

Primary practice location

1120 S Dobson Rd Ste B100
Chandler, AZ 85286-6165

Mailing address

PO Box 30388
Mesa, AZ 85275-0388
Phone (480) 830-3900

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
I20201016002449 AZ Practitioner - Nurse Practitioner 4981024718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Sleep Physicians IncGroup PAC ID 5698905677, 27 clinicians

Practice addresses (Care Compare)

4555 E Inverness Ave
Suite 112
Mesa, AZ 85206-4630
Phone (480) 361-0110

Merit-based Incentive Payment System (MIPS)

Final score
56.55 of 100Reported as group
Quality
87.14
Promoting interoperability
0
Improvement activities
20
Cost
76.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Sleep Physicians, Inc CurrentSince Aug 14, 2020 Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients

Locations

1120 S Dobson Rd
Ste B100
Chandler, AZ 85286
Phone (480) 219-9473

1120 S Dobson Rd
Ste 100
Chandler, AZ 85286
Phone (480) 219-9473

6320 W Union Hills Dr
Ste 1000B
Glendale, AZ 85308

13481 W McDowell Rd
Ste 200A
Goodyear, AZ 85395

4555 E Inverness Ave
Bldg 3
Mesa, AZ 85206
Phone (480) 361-0110

4555 E Inverness Ave
Ste 112
Mesa, AZ 85206
Phone (480) 361-0110

10221 N 32nd St
Ste B
Phoenix, AZ 85028
Phone (480) 361-0110

3777 Crossings Dr
Ste C
Prescott, AZ 86305
Phone (480) 361-0110

9767 N 91st St
Ste B104
Scottsdale, AZ 85258

1790 E River Rd
Ste 130
Tucson, AZ 85718
Phone (480) 361-0110

1790 E River Rd
Ste 140B
Tucson, AZ 85718
Phone (480) 361-0110

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": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1679017586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30388",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852750388",
            "telephone_number": "480-830-3900",
            "fax_number": "480-830-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S DOBSON RD STE B100",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866165",
            "telephone_number": "480-830-3900",
            "fax_number": "480-830-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IZDEBSKI",
        "first_name": "ISABELLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.