Anna Justine Hamernick, N.P
Individual provider Active NPI Family Nurse Practitioner · Phoenix, AZ
NPI 1699102780 · NPPES record last updated Oct 3, 2013
Key facts
- NPI
- 1699102780
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN137493 (AZ)
- Practice address
- 500 W Thomas Rd
Suite 230
Phoenix, AZ 85013-4224 - Phone
- (602) 406-3362
- Fax
- (602) 728-9225
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140130001825 | AZ | Practitioner - Nurse Practitioner | 7618106220 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN137493 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Castle Biosciences, Inc | Current | Accepting new patients | |
| Cogent Healthcare of Arizona PC | Current |
Accepting new patients | |
| Mobileonedocs, LLC | Current |
Accepting new patients | |
| Sjhmc Physician Services | Current |
Accepting new patients | |
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Nextcare Arizona LLC | Current |
Accepting new patients | |
| Mobileonedocs, LLC | Family | Current |
Accepting new patients |
| St. Joseph'S Hospital and Medical Center | Current |
Accepting new patients | |
| Chandler Urgent Care LLC | Past | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671
500 W Thomas Rd
Ste 230
Phoenix, AZ 85013
Phone (602) 406-9999
500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017
500 W Thomas Rd
Ste 300
Phoenix, AZ 85013
Phone (602) 406-6262
9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383
10115 E Bell Rd
Ste 107234
Scottsdale, AZ 85260
Phone (480) 843-9877
9630 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 551-5400
5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000
1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055
File 56765
Los Angeles, CA 90074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN137493 | AZ | Yes |
Addresses
Primary practice location
500 W Thomas Rd
Suite 230
Phoenix, AZ 85013-4224
Mailing address
500 W Thomas Rd
Suite 230
Phoenix, AZ 85013-4224
Phone (602) 406-3362
Other providers in Phoenix, AZ
- Donna C Hamburg
- Maryam Hamdan
- Maureen Patricia Hamel-Schwartz
- Rachel Hamel
- Leonard Michael Hamera
- Enas Hamid
- Dina A Hamideh
- Reza Hamidi
- Syma Aqdus Hamidi
- Alexander Hamill
All providers in Phoenix, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.