Active NPI
Sharon Leone Mertins, P.A.C.
- Medical Physician Assistant
- Chandler, AZ
National Provider Identifier
1679601595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA17685
- Practice address
- 1343 N Alma School Rd
Ste 160
Chandler, AZ 85224-5901 - Phone
- (480) 963-1853
- Fax
- (480) 963-1854
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Medical Physician Assistant | 363AM0700X | PA17685 | CA | Primary |
Addresses
Primary practice location
1343 N Alma School Rd
Ste 160
Chandler, AZ 85224-5901
Mailing address
1343 N Alma School Rd
Ste 160
Chandler, AZ 85224-5901
Phone (480) 963-1853
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mertins300@aol.com | ||
| Direct Messaging Address | robyn@evfm.care | Other |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14541 W Indian School Rd
Suite 600
Goodyear, AZ 85395-9243
Phone (888) 698-6727
5620 W Thunderbird Rd
Glendale, AZ 85306-4652
Phone (888) 698-6727
7445 W Bell Rd
Suite 100
Peoria, AZ 85382-4831
Phone (602) 755-0800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA17685 | CA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Health Services of Rancho Springs Inc | Past | Accepting new patients |
Interoperability endpoints
- sharon.mertins.1@19654.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Glendale, AZ
- NPI 1053810622
-
- Neurology Physician
- Sun City, AZ
- NPI 1487155354
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1679601595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1343 N ALMA SCHOOL RD",
"address_2": "STE 160",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245901",
"telephone_number": "480-963-1853",
"fax_number": "480-963-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1343 N ALMA SCHOOL RD",
"address_2": "STE 160",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245901",
"telephone_number": "480-963-1853",
"fax_number": "480-963-1854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERTINS",
"first_name": "SHARON",
"middle_name": "LEONE",
"credential": "P.A.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA17685",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mertins300@aol.com",
"affiliation": "N",
"address_1": "1343 N ALMA SCHOOL RD",
"address_2": "STE 160",
"city": "CHANDLER",
"state": "AZ",
"country_code": "US",
"postal_code": "852245901",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "robyn@evfm.care",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "mr",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "medical records",
"address_1": "1343 N ALMA SCHOOL RD",
"address_2": "STE 160",
"city": "CHANDLER",
"state": "AZ",
"country_code": "US",
"postal_code": "852245901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.