Individual provider Active NPI

Anita Lois Chapman

  • Acute Care Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1780178491
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP11402 Issued in AZ
Practice address
17433 N 105TH Ave
Sun City, AZ 85373-1921
Phone
(951) 663-0230
NPI assigned
Jun 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP11402 AZ Primary

Addresses

Primary practice location

17433 N 105TH Ave
Sun City, AZ 85373-1921

Mailing address

17433 N 105TH Ave
Sun City, AZ 85373-1921

Other names 1

  • Anita Wescott Former name

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
I20180907000294 AZ Practitioner - Nurse Practitioner 9335499623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ponderosa Heart House CallGroup PAC ID 5890112429, 10 clinicians

Practice addresses (Care Compare)

2162 E Williams Field Rd
Suite 111
Gilbert, AZ 85295-0736
Phone (480) 795-1515

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11402AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ponderosa Heart House Call CurrentSince Mar 3, 2025 Accepting new patients

Locations

2162 E Williams Field Rd
Ste 111
Gilbert, AZ 85295
Phone (480) 795-1515

3707 E Southern Ave
Ste 1023
Mesa, AZ 85206
Phone (480) 795-1515

Organizations & group practices 1

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": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1780178491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17433 N 105TH AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853731921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17433 N 105TH AVE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853731921",
            "telephone_number": "951-663-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "ANITA",
        "middle_name": "LOIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-16",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP11402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "WESCOTT",
            "credential": "AGACNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.