Individual provider Active NPI

Sarah Schornack

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1942958699
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
272444 Issued in AZ
Practice address
1425 S Greenfield Rd Ste 101
Mesa, AZ 85206-5505
Phone
(480) 964-5800
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 272444 AZ Primary

Addresses

Primary practice location

1425 S Greenfield Rd Ste 101
Mesa, AZ 85206-5505

Mailing address

1425 S Greenfield Rd Ste 101
Mesa, AZ 85206-5505
Phone (480) 964-5800

Other practice location 1

3922 E Sourwood Dr
Gilbert, AZ 85298-0506
Phone (480) 262-0859

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
I20230206002375 AZ Practitioner - Nurse Practitioner 3375915077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mesa Family Physicians, PLCGroup PAC ID 1456336320, 8 clinicians

Practice addresses (Care Compare)

1425 S Greenfield Rd
Suite 101
Mesa, AZ 85206-5505
Phone (701) 235-9624

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mesa Family Physicians, PLC CurrentSince Jan 10, 2023 Accepting new patients

Locations

1440 S Country Club Dr
Ste 30
Mesa, AZ 85210
Phone (480) 505-0500

1425 S Greenfield Rd
Ste 101
Mesa, AZ 85206
Phone (480) 964-5800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1942958699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 S GREENFIELD RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065505",
            "telephone_number": "480-964-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S GREENFIELD RD STE 101",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852065505",
            "telephone_number": "480-964-5800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3922 E Sourwood Dr",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852980506",
            "country_code": "US",
            "telephone_number": "480-262-0859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHORNACK",
        "first_name": "SARAH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "272444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.