Active NPI
Anita Lois Chapman
- Acute Care Nurse Practitioner
- Sun City, AZ
National Provider Identifier
1780178491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP11402
- 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
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Call
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP11402 | AZ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ponderosa Heart House Call | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.