Individual provider Active NPI

Scott E Vanskike, NP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1699882480
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2463 Issued in AZ
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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 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

IdentifierTypeStateIssuer
211204MedicaidAZ

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
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC Current Accepting new patients
Central Arizona Gastroenterology PC PastSince Mar 30, 2025 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.

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

Verify at the official NPI Registry.