Active NPI
Jill Metzler, NP-C
- Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1750718904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP5235
- Practice address
- 8573 E Princess Dr
Suite 215
Scottsdale, AZ 85255-7819 - Phone
- (480) 563-5757
- Fax
- (480) 563-5851
- NPI assigned
- Oct 2, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP5235 | AZ | Primary |
Addresses
Primary practice location
8573 E Princess Dr
Suite 215
Scottsdale, AZ 85255-7819
Mailing address
PO Box 11128
Tacoma, WA 98411-0128
Phone (253) 272-8148
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5235 | Other | AZ | AZ LICENSE |
| Z102830 | Other | AZ | MEDICARE PTAN GROUP |
| Z162487 | Other | AZ | MEDICARE PTAN |
| 855650 | Medicaid | AZ |
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
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1750718904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11128",
"city": "TACOMA",
"state": "WA",
"postal_code": "984110128",
"telephone_number": "253-272-8148",
"fax_number": "253-404-0506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8573 E PRINCESS DR",
"address_2": "SUITE 215",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852557819",
"telephone_number": "480-563-5757",
"fax_number": "480-563-5851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "METZLER",
"first_name": "JILL",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP5235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ LICENSE",
"identifier": "5235",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN GROUP",
"identifier": "Z102830",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z162487",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "855650",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.