Individual provider Active NPI

Lexi Lynn Mickey, AGDNP-C

  • Gerontology Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1902383573
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP11501 Issued in AZ
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, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190222000631 AZ Practitioner - Nurse Practitioner 7719226554 Reassigns benefits to 1 organization

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
Arizona Arthritis and Rheumatology Associates P CGroup PAC ID 8123912516, 63 clinicians

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

  • Direct secure messaging: 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.

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": "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

Sources for this page

Verify at the official NPI Registry.