Individual provider Active NPI

Scott H. Sorensen, P.A.-C

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1710920855
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9819 Issued in AZ
Practice address
745 E Guadalupe Rd
Tempe, AZ 85283-2911
Phone
(480) 618-0123
Fax
(520) 300-8051
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1274 NE
Physician Assistant 363A00000X 9819 AZ Primary
Medical Physician Assistant 363AM0700X 1274 NE

Addresses

Primary practice location

745 E Guadalupe Rd
Tempe, AZ 85283-2911

Mailing address

PO Box 746093
Atlanta, GA 30374-6093

Other practice location 1

1036 N Arizona Ave
Chandler, AZ 85225-6600
Phone (480) 618-0027

Other identifiers 2

IdentifierTypeStateIssuer
470376604-32MedicaidNE
ORDERING/REFERRINGMedicaidIA

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
I20241104003809 AZ Practitioner - Physician Assistant 8820046493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

Practice addresses (Care Compare)

1036 N Arizona Ave
Chandler, AZ 85225-6600
Phone (480) 618-0027

183 W Apache TRL
Suite B109
Apache Junction, AZ 85120-3425
Phone (480) 618-0945

2850 E Main St
Suite 106
Mesa, AZ 85213-9304
Phone (480) 618-0019

745 E Guadalupe Rd
Tempe, AZ 85283-2911
Phone (480) 618-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1274NEMDRegistered Dietitian
9819AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Medicine of Lincoln, PC Current Accepting new patients
William M Johnson, MD, PC Current Accepting new patients
Jeffrey E Jarrett, MD, PC Current Accepting new patients
Douglas R. Fiedler, MD, PC Current Accepting new patients
John F. Trapp, MD, PC Current Accepting new patients
Kevin J Reichmuth, MD, PC Current Accepting new patients
Lincoln Physician Network LLC Past Accepting new patients
The Physician Network Medical Past Accepting new patients

Locations

1500 S 48th St
Ste 800
Lincoln, NE 68506
Phone (402) 483-8600

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1710920855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 E GUADALUPE RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832911",
            "telephone_number": "480-618-0123",
            "fax_number": "520-300-8051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1036 N Arizona Ave",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852256600",
            "country_code": "US",
            "telephone_number": "480-618-0027",
            "fax_number": "520-300-8059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "SCOTT",
        "middle_name": "H.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1274",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "9819",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "1274",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470376604-32",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ORDERING/REFERRING",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.