Individual provider Active NPI

Betty Ayele, FNP-C

  • Family Nurse Practitioner
  • Sun City West, AZ
National Provider Identifier
1962137737
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277810 Issued in AZ
Practice address
13949 W Meeker Blvd Ste B
Sun City West, AZ 85375-4436
Phone
(623) 238-8781
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 277810 AZ Primary

Addresses

Primary practice location

13949 W Meeker Blvd Ste B
Sun City West, AZ 85375-4436

Mailing address

12051 W Red Hawk Dr
Peoria, AZ 85383-8202
Phone (702) 688-2164

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
I20221019002988 AZ Practitioner - Nurse Practitioner 4587030309 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
Brian G Lee MD PLLCGroup PAC ID 4082914247, 18 clinicians

Practice addresses (Care Compare)

7301 E 2ND St
Suite 106
Scottsdale, AZ 85251-5609
Phone (480) 994-0308

National Provider Directory

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

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": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1962137737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12051 W RED HAWK DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853838202",
            "telephone_number": "702-688-2164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13949 W MEEKER BLVD STE B",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754436",
            "telephone_number": "623-238-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYELE",
        "first_name": "BETTY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "277810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.