Individual provider Active NPI

Bertha Elena Escobar, APN, FNP-BC

  • Family Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1982048864
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
318924 Issued in AZ
Practice address
37100 N Gantzel Rd Ste 201
Queen Creek, AZ 85140-7352
Phone
(480) 384-4469
Fax
(480) 394-4520
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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 318924 AZ Primary
Family Nurse Practitioner 363LF0000X 209010284 IL

Addresses

Primary practice location

37100 N Gantzel Rd Ste 201
Queen Creek, AZ 85140-7352

Mailing address

37100 N Gantzel Rd Ste 201
Queen Creek, AZ 85140-7352
Phone (480) 394-4469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130619000102 IL Practitioner - Nurse Practitioner 0446499602
I20250402002325 AZ Practitioner - Nurse Practitioner 0446499602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner Primary Care Physicians Arizona LLCGroup PAC ID 6406020155, 236 clinicians

Practice addresses (Care Compare)

37100 N Gantzel Rd
Suite 201
San Tan Valley, AZ 85140-7352
Phone (480) 394-4469

Merit-based Incentive Payment System (MIPS)

Final score
52.58 of 100Reported as group
Quality
13.74
Promoting interoperability
100
Improvement activities
0
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
318924AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Primary Care Physicians Arizona LLC CurrentSince Apr 15, 2025 Accepting new patients
Banner Primary Care Physicians Arizona LLC CurrentSince Apr 15, 2025 Accepting new patients
Silver Cross Hospital & Medical Centers CurrentSince Mar 25, 2024 Accepting new patients
Comprehensive Pathology Services, S.C. Current Accepting new patients
Banner Primary Care Physicians Arizona LLC Past Accepting new patients

Locations

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

37100 N Gantzel Rd
Ste 201
San Tan Vly, AZ 85140
Phone (480) 394-4469

7017 Solutions Ctr
Chicago, IL 60677

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

Interoperability endpoints

  • Direct secure messaging: bescobar205500@direct.myadvocateaurora.org

Organizations & group practices 5

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1982048864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37100 N GANTZEL RD STE 201",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407352",
            "telephone_number": "480-394-4469",
            "fax_number": "480-394-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37100 N GANTZEL RD STE 201",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407352",
            "telephone_number": "480-384-4469",
            "fax_number": "480-394-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "BERTHA",
        "middle_name": "ELENA",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "318924",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010284",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.