Active NPI
Lexi Lynn Mickey, AGDNP-C
- Gerontology Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP11501
- Practice address
- 5681 W Beverly LN Ste 100
Glendale, AZ 85306-9802 - Phone
- (480) 443-8400
- NPI assigned
- Jul 25, 2018
- Last updated
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | AP11501 | AZ | Primary |
Addresses
Primary practice location
5681 W Beverly LN Ste 100
Glendale, AZ 85306-9802
Mailing address
25852 N Desert Mesa Dr
Surprise, AZ 85387-6823
Phone (701) 690-9933
Other practice location 1
9520 W Palm Ln Ste 220
Phoenix, AZ 85037-4403
Phone (480) 443-8400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10615 W Thunderbird Blvd
Suite B100
Sun City, AZ 85351-2748
Phone (480) 443-8400
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- lexi.mickey.p1@direct.aara.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rheumatology Physician
- Phoenix, AZ
- NPI 1366489254
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532476800000",
"number": "1902383573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25852 N DESERT MESA DR",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853876823",
"telephone_number": "701-690-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5681 W BEVERLY LN STE 100",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853069802",
"telephone_number": "480-443-8400"
}
],
"practiceLocations": [
{
"address_1": "9520 W Palm Ln Ste 220",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850374403",
"country_code": "US",
"telephone_number": "480-443-8400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MICKEY",
"first_name": "LEXI",
"middle_name": "LYNN",
"credential": "AGDNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-25",
"last_updated": "2018-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "AZ",
"license": "AP11501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
- Cecil Frances Michael Jr., MD
- Rebecca Jeannine Michael, FNP-C
- Glenn Micheels, D.C.
- Stephanie Larsen Mickelsen, LCSW
- Jazmin Denise Mickens, RD
- Christopher Justin Micu
- Donald Ray Middleton, DO
- Midwestern University
- Midwestern University (Midwestern University Dental Institute)
- Midwestern University (Midwestern University Clinic Pharmacy Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; 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.