Individual provider Active NPI

Amber R Hennenhoefer, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Scottsdale, AZ
National Provider Identifier
1831274828
Registry record updated Oct 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
5023 Issued in AZ
Practice address
9913 N 95TH St
Scottsdale, AZ 85258-4586
Phone
(480) 860-8998
Fax
(480) 377-9245
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5023 AZ
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 5023 AZ Primary

Addresses

Primary practice location

9913 N 95TH St
Scottsdale, AZ 85258-4586

Mailing address

9913 N 95TH St
Scottsdale, AZ 85258-4586
Phone (480) 860-8998

Other identifiers 2

IdentifierTypeStateIssuer
3Z3943OtherAZHEALTHNET
333821MedicaidAZ

Other names 1

  • Dr. Amber Rae Wensel 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080716000286 AZ Practitioner - Physical Medicine and Rehabilitation 9537232103 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

15000 N 83Rd Ave
Peoria, AZ 85381-2002

19636 N 27TH Ave
Suite 201
Phoenix, AZ 85027-4015
Phone (623) 516-4400

33423 N 32ND Ave
Phoenix, AZ 85085-8874

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5023AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Apr 1, 2018 Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 1, 2018 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Squaw Peak Family Physicians PC Current Accepting new patients
Honorhealth Ambulatory CurrentSince Apr 1, 2018 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Ambulatory Physical Medicine & Rehabilitation Past Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

4712 E Dynamite Blvd
Cave Creek, AZ 85331
Phone (480) 342-8711

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

15000 N 83rd Ave
Unit 200
Peoria, AZ 85381
Phone (623) 849-3811

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

9100 N 2nd St
Ste 121
Phoenix, AZ 85020
Phone (602) 943-4509

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

9327 N 3rd St
Ste 100
Phoenix, AZ 85020
Phone (602) 371-3100

1610 W Glendale Ave
#128
Phoenix, AZ 85021
Phone (623) 780-1999

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

9250 N 3rd St
Ste 2015
Phoenix, AZ 85020
Phone (602) 562-3010

33423 N 32nd Ave
Ste 101
Phoenix, AZ 85085

20745 N Scottsdale Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 587-5460

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1831274828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9913 N 95TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584586",
            "telephone_number": "480-860-8998",
            "fax_number": "480-377-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9913 N 95TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584586",
            "telephone_number": "480-860-8998",
            "fax_number": "480-377-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNENHOEFER",
        "first_name": "AMBER",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "5023",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "AZ",
            "license": "5023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3Z3943",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333821",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "WENSEL",
            "middle_name": "RAE",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.