Individual provider Active NPI

Anna Justine Hamernick, N.P

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1699102780
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN137493 Issued in 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
Last updated
Oct 3, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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 RN137493 AZ Primary

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

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
I20140130001825 AZ Practitioner - Nurse Practitioner 7618106220 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN137493AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Aug 2, 2017 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
Sjhmc Physician Services CurrentSince Nov 11, 2013 Accepting new patients
Cogent Healthcare of Arizona PC CurrentSince Feb 1, 2016 Accepting new patients
Mobileonedocs, LLC CurrentSince Jan 29, 2019 Accepting new patients
Mobileonedocs, LLC Family CurrentSince Jan 29, 2019 Accepting new patients
Castle Biosciences, Inc 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 300
Phoenix, AZ 85013
Phone (602) 406-6262

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

10115 E Bell Rd
Ste 107234
Scottsdale, AZ 85260
Phone (480) 843-9877

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

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

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

File 56765
Los Angeles, CA 90074

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1699102780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD",
            "address_2": "SUITE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134224",
            "telephone_number": "602-406-3362",
            "fax_number": "602-728-9225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD",
            "address_2": "SUITE 230",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134224",
            "telephone_number": "602-406-3362",
            "fax_number": "602-728-9225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMERNICK",
        "first_name": "ANNA",
        "middle_name": "JUSTINE",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN137493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.