Individual provider Active NPI

Charmaigne Scanes, FNP

  • Family Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1912146325
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
243834 Issued in AZ
Practice address
12725 W Indian School Rd Ste E
Avondale, AZ 85392-9520
Phone
(845) 337-9665
Fax
(833) 527-1531
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346893 NY
Family Nurse Practitioner 363LF0000X 243834 AZ Primary

Addresses

Primary practice location

12725 W Indian School Rd Ste E
Avondale, AZ 85392-9520

Mailing address

22644 W Pima St
Buckeye, AZ 85326-8945
Phone (845) 337-9665

Other identifiers 1

IdentifierTypeStateIssuer
APRN-RNP243834OtherAZAZBN

Other names 1

  • Charmaigne Scanes Professional name

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
I20210104000817 AZ Practitioner - Nurse Practitioner 0345653754 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F346893NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jan 9, 2025 Accepting new patients
The Little Clinic of Arizona LLC Family CurrentSince Jul 1, 2024 Accepting new patients

Locations

1300 S Watson Rd
Buckeye, AZ 85326
Phone (623) 241-5322

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1912146325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22644 W PIMA ST",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853268945",
            "telephone_number": "845-337-9665",
            "fax_number": "833-527-1531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 W INDIAN SCHOOL RD STE E",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853929520",
            "telephone_number": "845-337-9665",
            "fax_number": "833-527-1531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCANES",
        "first_name": "CHARMAIGNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346893",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "243834",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZBN",
            "identifier": "APRN-RNP243834",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARMAIGNE",
            "last_name": "SCANES",
            "credential": "BSN,MSN,APRNRNP FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.