Individual provider Active NPI

Calissa Leigh Yepiz, MSN, APRN PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1689292468
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
243995 Issued in AZ
Practice address
13760 N 93Rd Ave Ste 111
Peoria, AZ 85381-4250
Phone
(602) 960-7795
Fax
(602) 584-5008
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 243995 AZ Primary

Addresses

Primary practice location

13760 N 93Rd Ave Ste 111
Peoria, AZ 85381-4250

Mailing address

6950 W Melinda LN
Glendale, AZ 85308-9591
Phone (602) 639-1693

Other practice location 1

924 N Country Club Dr
Mesa, AZ 85201-4108
Phone (602) 639-1693

Other practice location 2

4220 N 20th Ave
Phoenix, AZ 85015-5124
Phone (602) 889-9401

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
I20201015002482 AZ Practitioner - Nurse Practitioner 6103246319 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13760 N 93Rd Ave
Suite 111
Peoria, AZ 85381-4250
Phone (602) 960-7795

1424 S 7TH Ave
BLDG a
Phoenix, AZ 85007-3902
Phone (602) 257-1558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Family Solutions Behavioral Health PLLC Psychiatric/Mental Health CurrentSince Oct 16, 2023 Accepting new patients
Numinus Wellness Ut Inc CurrentSince Feb 1, 2023 Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Feb 27, 2021 Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Feb 27, 2021 Accepting new patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Recovery Innovations, Inc Past Accepting new patients
Equality Medical Group LLC Past Accepting new patients
Equality Health at Home Inc Past Accepting new patients

Locations

20118 N 67th Ave
Ste 426
Glendale, AZ 85308

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

16155 N 83rd Ave
Ste 211
Peoria, AZ 85382
Phone (602) 399-5792

13760 N 93rd Ave
Ste 111
Peoria, AZ 85381
Phone (602) 960-7795

2400 W Dunlap Ave
Ste 124
Phoenix, AZ 85021
Phone (503) 766-3161

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

1424 S 7th Ave
Bldg A
Phoenix, AZ 85007
Phone (602) 257-1558

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

1424 S 7th Ave
Bldg C
Phoenix, AZ 85007
Phone (602) 258-3600

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

Organizations & group practices 8

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705622400000",
    "number": "1689292468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 W MELINDA LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853089591",
            "telephone_number": "602-639-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13760 N 93RD AVE STE 111",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814250",
            "telephone_number": "602-960-7795",
            "fax_number": "602-584-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "924 N Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852014108",
            "country_code": "US",
            "telephone_number": "602-639-1693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4220 N 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850155124",
            "country_code": "US",
            "telephone_number": "602-889-9401",
            "fax_number": "602-889-9404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YEPIZ",
        "first_name": "CALISSA",
        "middle_name": "LEIGH",
        "credential": "MSN, APRN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-01-19",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "243995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.