Individual provider Active NPI

Hermine Nazikian, APRN

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1821718453
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
279442 Issued in AZ
Practice address
2990 E Northern Ave Ste D107
Phoenix, AZ 85028-4840
Phone
(480) 725-7106
Fax
(480) 903-5166
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 279442 AZ Primary

Addresses

Primary practice location

2990 E Northern Ave Ste D107
Phoenix, AZ 85028-4840

Mailing address

2990 E Northern Ave Ste D107
Phoenix, AZ 85028-4840
Phone (480) 725-7106

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
I20241023003159 AZ Practitioner - Nurse Practitioner 6901339381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wings of Hope Medical Services LLCGroup PAC ID 7719277169, 8 clinicians
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

11022 N 28TH Dr
Suite 270
Phoenix, AZ 85029-5639
Phone (602) 971-0304

2990 E Northern Ave
Suite D107
Phoenix, AZ 85028-4840
Phone (480) 725-7106

3850 W Greenway Rd
Suite 150
Phoenix, AZ 85053-3731
Phone (480) 508-5777

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

9745 W Bell Rd
Suite 105
Sun City, AZ 85351-1371
Phone (623) 742-2999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279442AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paradise Valley Health Clinic LLC Family CurrentSince Nov 24, 2024 Accepting new patients
Wings of Hope Medical Services, LLC Nurse Practitioner CurrentSince Oct 10, 2024 Accepting new patients
MDSL Health CurrentSince Oct 1, 2025 Accepting new patients
Urgent Care of Arizona, LLC PastSince Sep 1, 2022 Accepting new patients
Ashwin R Patel MD P L L C PastSince Sep 1, 2022 Accepting new patients

Locations

11022 N 28th Dr
Ste 270
Phoenix, AZ 85029
Phone (602) 971-0304

2990 E Northern Ave
Ste D107
Phoenix, AZ 85028
Phone (480) 725-7106

Organizations & group practices 6

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": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1821718453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 E NORTHERN AVE STE D107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284840",
            "telephone_number": "480-725-7106",
            "fax_number": "480-903-5166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 E NORTHERN AVE STE D107",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284840",
            "telephone_number": "480-725-7106",
            "fax_number": "480-903-5166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZIKIAN",
        "first_name": "HERMINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "279442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.