Amy Janetsky, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP9008 Issued in AZ

Practice address

15255 N 40TH St Ste 105
Phoenix, AZ 85032-4636

Phone

(602) 867-2690

NPI assigned

Oct 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amy.janetsky.1@14294.direct.athenahealth.com

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.

• Arizona OB GYN Affiliates PC

  • Specialist
  • Phoenix, AZ
  • NPI 1750589404
  Medicare reassignment Care Compare group NPD
• Cornerstone Womens Care PC

  • Obstetrics & Gynecology Physician
  • Scottsdale, AZ
  • NPI 1679508105
  NPD

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

{
    "created_epoch": "1475366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475366400000",
    "number": "1891244885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15255 N 40TH ST STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324636",
            "telephone_number": "602-867-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15255 N 40TH ST STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850324636",
            "telephone_number": "602-867-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANETSKY",
        "first_name": "AMY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-02",
        "last_updated": "2016-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF NURSING NURSE PRACTITIONER LICENSE",
            "identifier": "AP9008",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yousef Janajreh, MD
• Janbou Dentistry PLLC
• Melissa Jandt, LCSW
• Tiffany Michelle Janes, PA-C
• Janet Callahan, Aprn, BC, LLC
• Anna Sun Jang, DMD
• Grace Jang
• Janice M. Labranche, M.D., P.C.
• Tracy Marie Janiga, LMSW
• Ann Janik, PA

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.