Individual provider Active NPI

Ann Marie Chavez, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1992945299
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA05083 Issued in TX
Practice address
7699 E Pinnacle Peak Rd Ste 115
Scottsdale, AZ 85255-6322
Phone
(480) 300-4663
Fax
(480) 300-4888
NPI assigned
Feb 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA05083 TX Primary

Addresses

Primary practice location

7699 E Pinnacle Peak Rd Ste 115
Scottsdale, AZ 85255-6322

Mailing address

7699 E Pinnacle Peak Rd Ste 115
Scottsdale, AZ 85255-6322
Phone (480) 300-4663

Other practice location 1

836 E Redd Rd
El Paso, TX 79912-7221
Phone (915) 833-8444

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
I20210325001798 AZ Practitioner - Physician Assistant 6406263151 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA05083TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Pediatric Night Clinic Past Accepting new patients
Andres S Enriquez MD PA Past Accepting new patients

Organizations & group practices 3

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1992945299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7699 E PINNACLE PEAK RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556322",
            "telephone_number": "480-300-4663",
            "fax_number": "480-300-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7699 E PINNACLE PEAK RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556322",
            "telephone_number": "480-300-4663",
            "fax_number": "480-300-4888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "836 E Redd Rd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799127221",
            "country_code": "US",
            "telephone_number": "915-833-8444",
            "fax_number": "915-833-8767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "ANN MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA05083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.