Individual provider Active NPI

Albert James Bales, FNP-C

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1790443497
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
266289 Issued in AZ
Practice address
11345 W Prickly Pear TRL
Peoria, AZ 85383-9786
Phone
(505) 322-8858
NPI assigned
Nov 30, 2021
Last updated
Feb 23, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 848565 NV
Family Nurse Practitioner 363LF0000X 266289 AZ Primary

Addresses

Primary practice location

11345 W Prickly Pear TRL
Peoria, AZ 85383-9786

Mailing address

291 N Pecos Rd
Henderson, NV 89074-1918
Phone (702) 616-9471

Other identifiers 2

IdentifierTypeStateIssuer
848565OtherNVNEVADA STATE BOARD OF NURSING
266289OtherAZARIZONA STATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
848565NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Doctors Ramanathan, PLLC CurrentSince Mar 4, 2022 Accepting new patients
Albert Bales Aprn PLLC Current Accepting new patients

Locations

291 N Pecos Rd
Henderson, NV 89074
Phone (702) 435-1995

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1790443497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741918",
            "telephone_number": "702-616-9471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11345 W PRICKLY PEAR TRL",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853839786",
            "telephone_number": "505-322-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALES",
        "first_name": "ALBERT",
        "middle_name": "JAMES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-30",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "848565",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "266289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA STATE BOARD OF NURSING",
            "identifier": "848565",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF NURSING",
            "identifier": "266289",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.