Individual provider Active NPI

Jacqueline Kasnot, DNP

  • Adult Health Nurse Practitioner
  • Cave Creek, AZ
National Provider Identifier
1871975482
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP7875 Issued in AZ
Practice address
4712 E Dynamite Blvd # 100a
Cave Creek, AZ 85331-6243
Phone
(480) 342-8711
NPI assigned
Jun 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP7875 AZ Primary

Addresses

Primary practice location

4712 E Dynamite Blvd # 100a
Cave Creek, AZ 85331-6243

Mailing address

6565 E Greenway Pkwy
#100A
Scottsdale, AZ 85254-2073
Phone (480) 348-3200

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
I20150924003346 AZ Practitioner - Nurse Practitioner 9032427000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

34525 N Scottsdale Rd
Scottsdale, AZ 85266-1201
Phone (480) 882-7550

6220 W Bell Rd
Suite 100
Glendale, AZ 85308-3896
Phone (602) 547-7200

Hospital & facility affiliations

  • Assisted Home Health Home health agency, Phoenix, AZ, CCN 037220
  • Honorhealth Scottsdale Thompson Peak Med Ctr Hospital, Scottsdale, AZ, CCN 030123
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014
  • Honorhealth Scottsdale Shea Medical Center Hospital, Scottsdale, AZ, CCN 030087

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7875AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Sep 8, 2019 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Sep 8, 2019 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Scottsdale Healthcare Corp. CurrentSince Sep 8, 2019 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Sep 8, 2019 Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients

Locations

4712 E Dynamite Blvd
#100A
Cave Creek, AZ 85331
Phone (480) 342-8711

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

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

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

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

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

34525 N Scottsdale Rd
Scottsdale, AZ 85266
Phone (480) 882-7550

Interoperability endpoints

  • Direct secure messaging: jkasnot350835@direct.honorhealth.com

Organizations & group practices 7

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 4

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": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1871975482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 E GREENWAY PKWY",
            "address_2": "#100A",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542073",
            "telephone_number": "480-348-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4712 E DYNAMITE BLVD # 100A",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853316243",
            "telephone_number": "480-342-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASNOT",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP7875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

Verify at the official NPI Registry.