Dimple Amin, FNP-C

Individual provider Active NPI Family Nurse Practitioner · Gilbert, AZ

NPI 1982142659 · NPPES record last updated Oct 5, 2018

Key facts

NPI
1982142659
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP9849 (AZ)
Practice address
1466 W Elliot Rd
Gilbert, AZ 85233-5186
Phone
(480) 496-2699
Fax
(877) 422-3184
NPI assigned
Feb 2, 2017
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ajay Narwani MD PLLC (5 clinicians)

Practice addresses (Care Compare)

1466 W Elliot Rd
Gilbert, AZ 85233-5100
Phone (480) 496-2699

Merit-based Incentive Payment System (MIPS)

Final score
20.03 of 100 (individual)
Quality
0
Improvement activities
0
Cost
66.76

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170331001739 AZ Practitioner - Nurse Practitioner 4981989019 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP9849AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ajay Narwani MD PLLC Current
since Mar 1, 2017
Accepting new patients

Locations

3008 N Dobson Rd
Ste 2
Chandler, AZ 85224
Phone (480) 321-8777

1466 W Elliot Rd
Gilbert, AZ 85233
Phone (480) 496-2699

10255 N 32nd St
Phoenix, AZ 85028
Phone (602) 258-7003

8222 S 48th St
Phoenix, AZ 85044
Phone (480) 293-4327

2000 E Southern Ave
Ste 106
Tempe, AZ 85282
Phone (480) 444-7491

2000 E Southern Ave
Ste 108
Tempe, AZ 85282
Phone (480) 496-2699

Interoperability endpoints

  • Direct secure messaging: dimpleamin.359.6@securemailmdscloud.mdsynergy.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9849 AZ Yes

Addresses

Primary practice location

1466 W Elliot Rd
Gilbert, AZ 85233-5186

Mailing address

1466 W Elliot Rd
Gilbert, AZ 85233-5186
Phone (480) 496-2699

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 5, 2018.

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538697600000",
    "number": "1982142659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 W ELLIOT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335186",
            "telephone_number": "480-496-2699",
            "fax_number": "877-422-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 W ELLIOT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335186",
            "telephone_number": "480-496-2699",
            "fax_number": "877-422-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIN",
        "first_name": "DIMPLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-02",
        "last_updated": "2018-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

All providers in Gilbert, AZ · Family Nurse Practitioner in Arizona

Sources for this page

Verify at the official NPI Registry.