NANA AISHA AISHA NASIR-DEEN FNP-C
NPI 1174138051
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Nana Aisha Nasir-deen's NPI number?

The NPI number for Nana Aisha Nasir-deen is 1174138051. It was assigned to this individual provider in the NPPES registry on September 9, 2020.

Q: What is Nana Aisha Nasir-deen's specialty?

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

Active since September 09, 2020PECOS EnrolledAccepts Medicare Assignment

4616 N 51ST AVE STE 108, PHOENIX, AZ 85031(602) 685-6000(602) 269-8410 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 12, 2023, Sep 9, 2020 (2 updates tracked since 2020).

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About Nana Aisha Aisha Nasir-deen Fnp-c NPPES

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

NANA AISHA AISHA NASIR-DEEN FNP-C (NPI 1174138051) is an individual family provider in Phoenix, Arizona, licensed in Arizona (235632) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174138051

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNANA AISHA AISHA NASIR-DEENCredential: FNP-C

Location Address4616 N 51ST AVE STE 108Phoenix, AZ 85031-1720

Mailing Address3003 N Central Ave Ste 400Phoenix, AZ 85012-2929 · (602) 685-6000 · Fax (602) 302-7925

Phone(602) 685-6000

Fax(602) 269-8410

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 9, 2020

Last NPPES UpdateJanuary 12, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2023

✔ NPI 1174138051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

Licenses✔ Licensed in AZ · 235632✔ Licensed in GA · RN252701

Also ListedRegistered NurseTaxonomy 163W00000X · License RN252701 (GA), 235632 (AZ)

4616 N 51ST AVE STE 108, Phoenix, AZ 85031

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nana Aisha Aisha Nasir-deen Fnp-c 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 ID6709257223

PECOS Enrollment IDI20230120000833

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85031 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 10

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

GENOA HEALTHCARE LLC

Pharmacy (Long Term Care Pharmacy)