Individual provider Active NPI

Patricia Nwakaego Ayemoba, FNP-BC

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1689218042
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
233000 Issued in AZ
Practice address
4319 W Bell Rd
Glendale, AZ 85308-3530
Phone
(602) 888-0448
Fax
(415) 252-7176
NPI assigned
Oct 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 233000 AZ Primary

Addresses

Primary practice location

4319 W Bell Rd
Glendale, AZ 85308-3530

Mailing address

7862 W Salter Dr
Peoria, AZ 85382-3304
Phone (623) 698-6071

Other practice location 1

7862 W Salter Dr
Peoria, AZ 85382-3304
Phone (623) 698-6071

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
I20200113001188 AZ Practitioner - Nurse Practitioner 3971938366 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Solution Team LLC Family CurrentSince Dec 1, 2022 Accepting new patients
Iora Senior Health, LLC CurrentSince Nov 29, 2021 Accepting new patients
Asap Health Solutions Inc CurrentSince Dec 15, 2019 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC CurrentSince Nov 29, 2021 Accepting new patients
Rhad Health Care LLC CurrentSince Jun 25, 2023 Accepting new patients
Iora Health, LLC Past Accepting new patients
Iora Health Massachusetts, P.C. Past Accepting new patients

Locations

1719 N Dysart Rd
Avondale, AZ 85392
Phone (623) 232-3322

29455 N Cave Creek Rd
Ste 118605
Cave Creek, AZ 85331
Phone (602) 996-5595

4319 W Bell Rd
Glendale, AZ 85308
Phone (602) 888-0448

4319 W Bell Rd
Ste 4319
Glendale, AZ 85308
Phone (602) 888-0448

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

3202 E Greenway Rd
Phoenix, AZ 85032
Phone (602) 325-5577

9846 N 95th St
Scottsdale, AZ 85258
Phone (480) 214-4200

101 Tremont St
Fl 6
Boston, MA 02108

Organizations & group practices 11

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Senior Health LLC 117 clinicians

Practice addresses (Care Compare)

1719 N Dysart Rd
Avondale, AZ 85392-1213
Phone (888) 405-6396

NPI Registry JSON

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1689218042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7862 W SALTER DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823304",
            "telephone_number": "623-698-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 W BELL RD",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083530",
            "telephone_number": "602-888-0448",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7862 W Salter Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853823304",
            "country_code": "US",
            "telephone_number": "623-698-6071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYEMOBA",
        "first_name": "PATRICIA",
        "middle_name": "NWAKAEGO",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-29",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "233000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.