DEDRA A. WADSWORTH FNP
NPI 1205275997
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Dedra Wadsworth's NPI number?

The NPI number for Dedra Wadsworth is 1205275997. It was assigned to this individual provider in the NPPES registry on June 17, 2013.

Q: What is Dedra Wadsworth'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 Dedra Wadsworth was last updated on June 17, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 June 17, 2013PECOS EnrolledAccepts Medicare Assignment

10240 N 31ST AVE STE 200, PHOENIX, AZ 85051(602) 344-2500(602) 247-9500 Get Directions Write a Review

NPPES record last updated: June 17, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dedra A. Wadsworth Fnp NPPES

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

DEDRA A. WADSWORTH FNP (NPI 1205275997) is an individual family provider in Phoenix, Arizona, licensed in Arizona (TAP5036) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205275997

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDEDRA A. WADSWORTHCredential: FNP

Location Address10240 N 31ST AVE STE 200Phoenix, AZ 85051-9565

Mailing Address2929 E Thomas RdPhoenix, AZ 85016-8034 · (602) 470-5043 · Fax (602) 470-5064

Phone(602) 344-2500

Fax(602) 247-9500

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJune 17, 2013

✔ NPI 1205275997 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 · TAP5036

10240 N 31ST AVE STE 200, Phoenix, AZ 85051

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Accepted Insurance

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

Dedra A. Wadsworth 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 ID8729221734

PECOS Enrollment IDI20130823000268

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.

Areas of Expertise CMS Part B claims

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 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.

27 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85051 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 6

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

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