Active NPI
Scott E Vanskike, NP-C
- Family Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP2463
- Practice address
- 1955 W Guadalupe Rd
Suite 1 & 2
Mesa, AZ 85202-7487 - Phone
- (480) 207-2990
- Fax
- (480) 838-1541
- NPI assigned
- Aug 25, 2006
- Last updated
- Nov 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP2463 | AZ | Primary |
Addresses
Primary practice location
1955 W Guadalupe Rd
Suite 1 & 2
Mesa, AZ 85202-7487
Mailing address
1250 S Clearview Ave
Suite 100
Mesa, AZ 85209-3378
Phone (480) 988-9108
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 211204 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Central Arizona Gastroenterology PC | Past | Accepting new patients | |
| Phoenix Neurological Institute, Inc | Past | Accepting new patients | |
| East Valley Urgent Care, LLC | Past | Accepting new patients | |
| Desert Ridge Urgent Care Centers | Past | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
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
298 W Mariposa Rd
Ste 2
Nogales, AZ 85621
Phone (520) 394-7388
4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491
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
1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Gastroenterology Physician
- Mesa, AZ
- NPI 1093518995
-
dba Kyrene Urgent Care
- General Practice Physician
- Chandler, AZ
- NPI 1972806834
-
dba Urgent Care Extra-Ironwood
- Urgent Care Clinic/Center
- San Tan Valley, AZ
- NPI 1649515347
-
dba Phoenician Behavioral Health
- Neurology Physician
- Chandler, AZ
- NPI 1336319086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415836800000",
"number": "1699882480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1250 S CLEARVIEW AVE",
"address_2": "SUITE 100",
"city": "MESA",
"state": "AZ",
"postal_code": "852093378",
"telephone_number": "480-988-9108",
"fax_number": "480-813-4460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1955 W GUADALUPE RD",
"address_2": "SUITE 1 & 2",
"city": "MESA",
"state": "AZ",
"postal_code": "852027487",
"telephone_number": "480-207-2990",
"fax_number": "480-838-1541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANSKIKE",
"first_name": "SCOTT",
"middle_name": "E",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2014-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP2463",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "211204",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.