Haneen Ahmed, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Mesa, AZ
NPI 1740906304 · NPPES record last updated Nov 17, 2025
Key facts
- NPI
- 1740906304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 95036831 (CA)
- Practice address
- 1035 N Ellsworth Rd Ste 108
Mesa, AZ 85207-5144 - Phone
- (480) 677-8282
- Fax
- (888) 470-2777
- NPI assigned
- Oct 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Good Health Medical PLLC
Family Health Centers of San Diego Inc
Practice addresses (Care Compare)
1035 N Ellsworth Rd
Suite 108
Mesa, AZ 85207-5144
Phone (480) 667-8282
525 E Main St
El Cajon, CA 92020-4007
Phone (619) 515-2498
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230227001149 | AZ | Practitioner - Nurse Practitioner | 9830562669 | Reassigns benefits to 2 organizations |
| I20251125000523 | CA | Practitioner - Nurse Practitioner | 9830562669 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95036831 | CA | MD | Family Nurse Practitioner |
| 244949 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical, PLLC | Current |
Accepting new patients | |
| Family Health Centers of San Diego, Inc. | Current |
Accepting new patients | |
| Good Health Medical, PLLC | Current |
Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current |
Accepting new patients | |
| Epangelia Properties, LLC | Current |
Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Livn, P.C. | Past | Accepting new patients | |
| Florence Wellness PLLC | Past | Accepting new patients |
Locations
261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
1035 N Ellsworth Rd
Ste 1
Mesa, AZ 85207
1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888
9221 E Baseline Rd
Ste A106
Mesa, AZ 85209
1847 W Heatherbrae Dr
Phoenix, AZ 85015
Phone (602) 249-4508
1847 W Heatherbrae Dr
Ste A
Phoenix, AZ 85015
Phone (602) 263-0663
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282
525 E Main St
El Cajon, CA 92020
Phone (619) 334-3787
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95036831 | CA | Yes |
| Family Nurse Practitioner | 363LF0000X | 244949 | OH |
Addresses
Primary practice location
1035 N Ellsworth Rd Ste 108
Mesa, AZ 85207-5144
Mailing address
261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282
Other practice location 1
525 E Main St
El Cajon, CA 92020-4007
Phone (619) 515-2498
Other practice location 2
8530 La Mesa Blvd Ste 200
LA Mesa, CA 91942-0966
Phone (619) 515-2585
Other providers in Mesa, AZ
- Jane Ellen Ahler
- Mukesh K Ahluwalia
- Afroze A Ahmad
- Usma Shaheen Ahmad
- El Haj Arabi Makkawi Ahmed Hamid
- Shah Rukh Ahmed
- Zohair Ahmed
- Manfred H Ahnen
- Ahp Psych NP PC
- Ahpc Phoenix, LLC
All providers in Mesa, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.