Individual provider Active NPI

Nellie Movtchan

  • Plastic Surgery Physician
  • Scottsdale, AZ
National Provider Identifier
1841788056
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
56811 Issued in AZ
Practice address
7301 E 2ND St
Scottsdale, AZ 85251-5600
Phone
(480) 947-0321
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X A201550 CA
Plastic Surgery Physician 208200000X 56811 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

7301 E 2ND St
Scottsdale, AZ 85251-5600

Mailing address

7301 E 2ND St
Scottsdale, AZ 85251-5600

Other practice location 1

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (204) 468-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241021003853 AZ Practitioner - Hand Surgery 4587914916 Reassigns benefits to 1 organization
I20251219000588 CA Practitioner - Hand Surgery 4587914916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
Loyola University of Chicago, Stritch School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Joaquin Faculty Medical GroupGroup PAC ID 4082631395, 126 clinicians
County of San JoaquinGroup PAC ID 6002703436, 199 clinicians

Practice addresses (Care Compare)

500 W Hospital Rd
French Camp, CA 95231-9693
Phone (209) 468-6600

Hospital & facility affiliations

  • San Joaquin General Hospital Hospital, French Camp, CA, CCN 050167

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A201550CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Sep 5, 2024 Accepting new patients
County of San Joaquin CurrentSince Jan 13, 2026 Accepting new patients
District Medical Group, Inc CurrentSince Sep 5, 2024 Accepting new patients
County of San Joaquin CurrentSince Jan 13, 2026 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Jan 13, 2026 Accepting new patients

Locations

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

Interoperability endpoints

  • Direct secure messaging: nmovtchan190063@direct.valleywisehealth.org

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.

Hospital & facility affiliations 1

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": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1841788056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 E 2ND ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852515600",
            "telephone_number": "480-947-0321"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "French Camp",
            "state": "CA",
            "postal_code": "952319693",
            "country_code": "US",
            "telephone_number": "204-468-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOVTCHAN",
        "first_name": "NELLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A201550",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AZ",
            "license": "56811",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.