Individual provider Active NPI

Celina Ruiz Escamilla, MSN, FNP

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1891246187
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9840 Issued in AZ
Practice address
7734 N 59TH Ave
Glendale, AZ 85301-7816
Phone
(602) 569-3999
Fax
(602) 569-3887
NPI assigned
Oct 21, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 AP9840 AZ Primary

Addresses

Primary practice location

7734 N 59TH Ave
Glendale, AZ 85301-7816

Mailing address

1533 E. Willetta St.
Phoenix, AZ 85006
Phone (602) 569-3999

Other practice location 1

3337 W Portland St
Phoenix, AZ 85009-3408
Phone (480) 729-9192

Other practice location 2

2640 W Baseline Rd Ste 111
Phoenix, AZ 85041-6492
Phone (480) 677-8282

Other identifiers 1

IdentifierTypeStateIssuer
264441MedicaidAZ

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
I20170523001001 AZ Practitioner - Nurse Practitioner 5395012397 Reassigns benefits to 4 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
Corner Health Medical Group P aGroup PAC ID 5799223236, 36 clinicians

Practice addresses (Care Compare)

Tempe, AZ 85281
Phone (855) 212-2273

927 W Hatcher Rd
Unit 103
Phoenix, AZ 85021-3173
Phone (480) 351-2892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Good Health Medical, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Dec 18, 2024 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Corner Health Medical Group P a Family CurrentSince Dec 1, 2024 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Dec 18, 2024 Accepting new patients
Desert Kidney Associates PLC PastSince Feb 28, 2017 Accepting new patients
Msmancina Associates Arizona, PLLC Past Accepting new patients

Locations

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

927 W Hatcher Rd
Unit 103
Phoenix, AZ 85021
Phone (480) 351-2892

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

60 E Rio Salado Pkwy
Ste 300
Tempe, AZ 85281

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

Interoperability endpoints

  • Direct secure messaging: celina.escamilla.1@22854.direct.athenahealth.com
  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1891246187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 E. WILLETTA ST.",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85006",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7734 N 59TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017816",
            "telephone_number": "602-569-3999",
            "fax_number": "602-569-3887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3337 W Portland St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850093408",
            "country_code": "US",
            "telephone_number": "480-729-9192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2640 W Baseline Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850416492",
            "country_code": "US",
            "telephone_number": "480-677-8282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESCAMILLA",
        "first_name": "CELINA",
        "middle_name": "RUIZ",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-21",
        "last_updated": "2022-07-21",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "264441",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.