| Nicole Barth, FNP-C | |
|
12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 | |
| (623) 227-1000 | |
| Not Available |
| Full Name | Nicole Barth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 12361 W Bola Dr, Surprise, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417497066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP9877 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Leading Healthcare Clinic Of Goodyear, Llc | 7315377371 | 8 |
| Entity Name | Leading Healthcare Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356853691 PECOS PAC ID: 1850652496 Enrollment ID: O20180222002817 |
| Entity Name | Leading Healthcare Clinic Of Goodyear, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902448566 PECOS PAC ID: 7315377371 Enrollment ID: O20200415002967 |
| Entity Name | Team Select Mobile Physicians Az Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073148326 PECOS PAC ID: 6608298419 Enrollment ID: O20200624002619 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Barth, FNP-C 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 Ph: (623) 227-1000 | Nicole Barth, FNP-C 12361 W Bola Dr, Suite 109, Surprise, AZ 85378-9021 Ph: (623) 227-1000 |
Kimberly Ann Flores, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 16329 W. Cactus Rd., Suite 100, Surprise, AZ 85388 Phone: 480-677-8282 Fax: 888-316-1686 | |
Celine Tubillara Villariz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14973 W Bell Rd Ste 100, Surprise, AZ 85374 Phone: 623-934-1245 Fax: 623-934-3598 | |
Herlinda C Castro, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 877-809-5092 | |
Zofia Wilk, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13945 W Grand Ave Ste 105, Surprise, AZ 85374 Phone: 623-546-0007 | |
Paige Leykam, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14780 W Mountain View Blvd Ste 211, Surprise, AZ 85374 Phone: 480-428-7678 Fax: 480-569-2708 | |
Marisa Stapleton, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17751 W Villa Chula Ln, Surprise, AZ 85387 Phone: 909-938-9527 | |
Catherine Lisondra Krings, MSN,FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13945 W Grand Ave Ste A-105, Surprise, AZ 85374 Phone: 623-546-0007 Fax: 623-584-6915 |