MANDY NEBLETT FNP
NPI 1063789568
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Mandy Neblett's NPI number?

The NPI number for Mandy Neblett is 1063789568. It was assigned to this individual provider in the NPPES registry on November 28, 2011.

Q: What is Mandy Neblett's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mandy Neblett was last updated on April 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 28, 2011PECOS EnrolledAccepts Medicare Assignment

5501 N 19TH AVE STE 103, PHOENIX, AZ 85015(602) 589-0500(602) 314-4552 Get Directions Write a Review

NPPES record last updated: April 22, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2019, Apr 3, 2019, Aug 9, 2018 (3 updates tracked since 2018).

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About Mandy Neblett Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MANDY NEBLETT FNP (NPI 1063789568) is an individual family provider in Phoenix, Arizona, licensed in Arizona (FNP) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Surprise, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063789568

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMANDY NEBLETTCredential: FNP

Location Address5501 N 19TH AVE STE 103Phoenix, AZ 85015-2451

Mailing Address5501 N 19th Ave Ste 103Phoenix, AZ 85015-2451 · (602) 589-0500 · Fax (602) 314-4552

Phone(602) 589-0500

Fax(602) 314-4552

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateNovember 28, 2011

Last NPPES UpdateApril 22, 20193 updates tracked since enumeration

✔ NPI 1063789568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · FNP

5501 N 19TH AVE STE 103, Phoenix, AZ 85015

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Secondary Practice Location 1

Location 112361 W Bola Dr Ste 100Surprise, AZ 85378-9021 · Phone (602) 446-3300 · Fax (602) 314-4552

Other Identifiers 1

Medicaid676890AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mandy Neblett Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234390568

PECOS Enrollment IDI20120413000344, I20260602002935

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Mandy Neblett reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sun Pain Management, PLLC

Same address

Pain Medicine

5501 N. 19TH AVENUE, SUITE 103
Phoenix, AZ 85015

Reassigned Medicare billing, Arizona enrollment
11 clinicians in this Medicare group

NPI 1427230788 (602) 589-0500

Pophealthcare Medical Services Of Az, PC

11 mi

Family

1438 W BROADWAY RD STE 101
Tempe, AZ 85282

Reassigned Medicare billing, Arizona enrollment
41 clinicians in this Medicare group

NPI 1417652454 (877) 358-8109

Boulder Care Provider Group PA

1,001 mi

Addiction Medicine

111 SW NAITO PKWY STE 200
Portland, OR 97204

Reassigned Medicare billing, Ohio enrollment
162 clinicians in this Medicare group

NPI 1649838590 (888) 316-0451

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

847 services364 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

337 services236 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

214 services171 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

128 services128 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

37 services13 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

35 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARA A HILL NP

Nurse Practitioner (Acute Care)