Individual provider Active NPI

Anna Maria Grijalva, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1922612084
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
246884 Issued in AZ
Practice address
2340 E Beardsley Rd Ste 260
Phoenix, AZ 85024-1287
Phone
(602) 802-8240
NPI assigned
Sep 4, 2020
Last updated
Sep 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 246884 AZ Primary

Addresses

Primary practice location

2340 E Beardsley Rd Ste 260
Phoenix, AZ 85024-1287

Mailing address

2340 E Beardsley Rd Ste 260
Phoenix, AZ 85024-1287
Phone (602) 802-8240

Other names 1

  • Ms. Anna Maria Grijalva Other 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
I20201014001043 AZ Practitioner - Nurse Practitioner 3779903638 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

32919 N Ctr St
Suite B
Wittmann, AZ 85361-9433
Phone (928) 666-1197

519 Rose LN
Suite a
Wickenburg, AZ 85390-1448
Phone (928) 684-4365

523 Rose LN
Wickenburg, AZ 85390-1448

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Hospital Association, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Elite ENT CurrentSince Sep 1, 2020 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Feb 1, 2023 Accepting new patients
Community Hospital Association, Inc. CurrentSince Mar 1, 2025 Accepting new patients

Locations

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

2340 E Beardsley Rd
Ste 260
Phoenix, AZ 85024
Phone (602) 482-0756

1395 W Wickenburg Way
Ste A
Wickenburg, AZ 85390

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

523 Rose Ln
Wickenburg, AZ 85390
Phone (928) 668-1833

32919 N Center St
Wittmann, AZ 85361
Phone (928) 668-1833

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDAIAD

Organizations & group practices 6

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 3

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": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1922612084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 E BEARDSLEY RD STE 260",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241287",
            "telephone_number": "602-802-8240",
            "fax_number": "602-802-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E BEARDSLEY RD STE 260",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850241287",
            "telephone_number": "602-802-8240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIJALVA",
        "first_name": "ANNA",
        "middle_name": "MARIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "246884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "GRIJALVA",
            "middle_name": "MARIA",
            "prefix": "MS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.