Active NPI
Vickie Marie Zeller, PA-C
- Physician Assistant
- Prescott, AZ
National Provider Identifier
1821050196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1001 Division St
Prescott, AZ 86301-1618 - Phone
- (928) 445-4818
- Fax
- (928) 445-4837
- NPI assigned
- Apr 4, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1001 Division St
Prescott, AZ 86301-1618
Mailing address
11301 N T Quarter Cir
Prescott Valley, AZ 86315
Phone (928) 848-8865
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3783 | Other | AZ | STATE LICENSE |
| 788372 | Medicaid | AZ | |
| Z183308 | Other | AZ | MEDICARE PTAN |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3783 | AZ | MD | Veterinarian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel M. Burchfield, M.D.,PHD | Current | Accepting new patients |
Locations
3655 Crossings Dr
Prescott, AZ 86305
Phone (480) 305-0034
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.
-
- Specialist
- Prescott, AZ
- NPI 1013199215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1821050196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11301 N T QUARTER CIR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "86315",
"telephone_number": "928-848-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 DIVISION ST",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011618",
"telephone_number": "928-445-4818",
"fax_number": "928-445-4837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZELLER",
"first_name": "VICKIE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "3783",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "788372",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "Z183308",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.