Individual provider Active NPI

Elizabeth Burnett Rogers, PMH-NP, CNS

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1912910472
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP4193 Issued in AZ
Practice address
11022 S 51St St Ste 250
Phoenix, AZ 85044-4319
Phone
(480) 779-9900
Fax
(602) 429-8445
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP4193 AZ Primary

Addresses

Primary practice location

11022 S 51St St Ste 250
Phoenix, AZ 85044-4319

Mailing address

11022 S 51St St Ste 250
Phoenix, AZ 85044-4319
Phone (480) 779-9900

Other identifiers 1

IdentifierTypeStateIssuer
650176MedicaidAZ

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
I20120125000489 AZ Practitioner - Nurse Practitioner 8921064106 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Mountain Family Psychiatry LLCGroup PAC ID 7012346760, 5 clinicians

Practice addresses (Care Compare)

11022 S 51St St
Suite 250
Phoenix, AZ 85044-4308

11022 S 51St St
Suite 250
Phoenix, AZ 85044-4319
Phone (480) 939-6137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
South Mountain Family Psychiatry, LLC Psychiatric/Mental Health CurrentSince Feb 28, 2020 Accepting new patients
Neuro Focus Center LLC Current Accepting new patients
Neuro Focus Center-West CurrentSince May 1, 2015 Accepting new patients

Locations

5416 E Southern Ave
Ste 106
Mesa, AZ 85206
Phone (480) 632-2301

11011 S 48th St
Ste 205
Phoenix, AZ 85044
Phone (480) 893-2400

11022 S 51st St
Ste 250
Phoenix, AZ 85044
Phone (480) 939-6137

2920 N 24th Ave
Phoenix, AZ 85015
Phone (623) 302-9213

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21710/brand/1/csg/1/fhir/r4
  • Direct secure messaging: elizabeth.rogers.1@21710.direct.athenahealth.com

Organizations & group practices 3

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1912910472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11022 S 51ST ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444319",
            "telephone_number": "480-779-9900",
            "fax_number": "602-429-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 S 51ST ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444319",
            "telephone_number": "480-779-9900",
            "fax_number": "602-429-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "ELIZABETH",
        "middle_name": "BURNETT",
        "credential": "PMH-NP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650176",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.