Individual provider Active NPI

Amber Vercelline, FNP

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1841895356
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
250101 Issued in AZ
Practice address
9060 E Via Linda Ste 250
Scottsdale, AZ 85258-5425
Phone
(480) 614-2000
Fax
(480) 614-1751
NPI assigned
Dec 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 250101 AZ
Family Nurse Practitioner 363LF0000X 250101 AZ Primary

Addresses

Primary practice location

9060 E Via Linda Ste 250
Scottsdale, AZ 85258-5425

Mailing address

9060 E Via Linda Ste 250
Scottsdale, AZ 85258-5425
Phone (480) 614-2000

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
I20210323001824 AZ Practitioner - Nurse Practitioner 2860809670 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Pulmonary Specialists LTDGroup PAC ID 7618863192, 44 clinicians

Practice addresses (Care Compare)

9060 E Via Linda
Suite 250
Scottsdale, AZ 85258-5425
Phone (602) 261-7830

Hospital & facility affiliations

  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250101AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
United Telehealth Corp CurrentSince Feb 26, 2021 Accepting new patients
Scottsdale Physicians Group PLC CurrentSince Dec 15, 2020 Accepting new patients
Arizona Pulmonary Specialists LTD CurrentSince Feb 7, 2022 Accepting new patients

Locations

3330 N 2nd St
Ste 300
Phoenix, AZ 85012
Phone (602) 261-7830

9060 E Via Linda
Scottsdale, AZ 85258
Phone (480) 551-8627

9060 E Via Linda
Ste 250
Scottsdale, AZ 85258
Phone (480) 614-2000

9700 N 91st St
Ste A200
Scottsdale, AZ 85258
Phone (480) 614-2000

7975 N Hayden Rd
Ste D354
Scottsdale, AZ 85258
Phone (480) 214-9720

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71750

Organizations & group practices 3

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 3

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": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1841895356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9060 E VIA LINDA STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585425",
            "telephone_number": "480-614-2000",
            "fax_number": "480-614-1751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9060 E VIA LINDA STE 250",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585425",
            "telephone_number": "480-614-2000",
            "fax_number": "480-614-1751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERCELLINE",
        "first_name": "AMBER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "250101",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "250101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.