Active NPI
Deborah S Korbitz, CNP
- Family Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1720097389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2952
- Practice address
- 10238 E Hampton Ave Ste 416
Mesa, AZ 85209-3320 - Phone
- (480) 561-5000
- NPI assigned
- Aug 5, 2006
- Last updated
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5429 | MN | |
| Family Nurse Practitioner | 363LF0000X | 2952 | AZ | Primary |
Addresses
Primary practice location
10238 E Hampton Ave Ste 416
Mesa, AZ 85209-3320
Mailing address
10238 E Hampton Ave Ste 416
Mesa, AZ 85209-3320
Phone (480) 561-5000
Other practice location 1
1425 S Higley Rd Ste 102
Gilbert, AZ 85296-4798
Phone (480) 561-5000
Other names 1
- Deborah S Bjerstedt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5429 | MN | MD | Mental Health Counselor |
| 2952 | AZ | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Pain and Supportive Care P L L C | Past | Accepting new patients | |
| Arizona Neurological Institute, PC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
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.
-
- Neurology Physician
- Sun City, AZ
- NPI 1669540662
-
- Pain Medicine Physician
- Phoenix, AZ
- NPI 1104009265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1720097389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10238 E HAMPTON AVE STE 416",
"city": "MESA",
"state": "AZ",
"postal_code": "852093320",
"telephone_number": "480-561-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10238 E HAMPTON AVE STE 416",
"city": "MESA",
"state": "AZ",
"postal_code": "852093320",
"telephone_number": "480-561-5000"
}
],
"practiceLocations": [
{
"address_1": "1425 S Higley Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852964798",
"country_code": "US",
"telephone_number": "480-561-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KORBITZ",
"first_name": "DEBORAH",
"middle_name": "S",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "5429",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "2952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "BJERSTEDT",
"middle_name": "S",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.