Individual provider Active NPI

Haley Elizabeth Page, FNP

  • Family Nurse Practitioner
  • Anthem, AZ
National Provider Identifier
1871313577
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
315650 Issued in AZ
Practice address
2411 W Anthem Way # 101
Anthem, AZ 85086-4900
Phone
(480) 716-4667
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 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 315650 AZ Primary

Addresses

Primary practice location

2411 W Anthem Way # 101
Anthem, AZ 85086-4900

Mailing address

6346 W Desert Hollow Dr
Phoenix, AZ 85083-3443
Phone (785) 577-5984

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
I20241106003264 AZ Practitioner - Nurse Practitioner 4385178813 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

250 W Chandler Heights Rd
Chandler, AZ 85248-5055
Phone (602) 755-0800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
315650AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

2411 W Anthem Way
Anthem, AZ 85086
Phone (623) 551-0022

2411 W Anthem Way
#101
Anthem, AZ 85086
Phone (480) 716-4667

250 W Chandler Heights Rd
Chandler, AZ 85248
Phone (480) 659-2759

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

Interoperability endpoints

  • Direct secure messaging: haley.page.1@19654.direct.athenahealth.com

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.

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": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1871313577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6346 W DESERT HOLLOW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850833443",
            "telephone_number": "785-577-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 W ANTHEM WAY # 101",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850864900",
            "telephone_number": "480-716-4667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "HALEY",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "315650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

Verify at the official NPI Registry.