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KANIZ FATEMA ISLAM FNP, PMHNP
NPI 1366860843
Nurse Practitioner - Family in Laveen, AZ

Active since April 02, 2014PECOS Enrolled
5209 W SIESTA WAY, LAVEEN, AZ 85339(602) 352-9898(949) 247-5542 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2026, May 14, 2026, Sep 16, 2022 (3 updates tracked since 2022).

About Kaniz Fatema Islam Fnp, Pmhnp NPPES

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

KANIZ FATEMA ISLAM FNP, PMHNP (NPI 1366860843) is an individual family provider in Laveen, Arizona, licensed in Arizona (AZ5476) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366860843
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKANIZ FATEMA ISLAMCredential: FNP, PMHNP
Location Address5209 W SIESTA WAYLaveen, AZ 85339-7179
Mailing Address5209 W Siesta WayLaveen, AZ 85339-7179 · (602) 550-1008
Phone(602) 352-9898
Fax(949) 247-5542
Sole ProprietorNo
Enumeration DateApril 2, 2014
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1366860843 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
License✔ Licensed in AZ · AZ5476
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License AZ5476 (AZ)
5209 W SIESTA WAY, Laveen, AZ 85339
Open in Google Maps ↗

Other Identifiers 1

Medicaid902324AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaniz Fatema Islam Fnp, Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Kaniz Islam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Aneeshi Health LLC
Same address
Family
5209 W SIESTA WAY
Laveen, AZ 85339
  • Reassigned Medicare billing, Arizona enrollment
NPI 1073234639 (602) 550-1008
Ceb Capital LLC
10 mi
Family Medicine
9150 W INDIAN SCHOOL RD, SUITE 111B
Phoenix, AZ 85037
  • Reassigned Medicare billing, Arizona enrollment
  • 15 clinicians in this Medicare group
NPI 1750754982 (623) 247-2300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85339 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

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

ANEESHI HEALTH LLC
Nurse Practitioner (Family)
5209 W SIESTA WAY
LAVEEN, AZ 85339
Maricopa County (602) 550-1008

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaniz Islam's NPI number?

The NPI number for Kaniz Islam is 1366860843. It was assigned to this individual provider in the NPPES registry on April 2, 2014.

Where is Kaniz Islam located?

Kaniz Islam practices at 5209 W Siesta Way, Laveen, AZ 85339. The listed phone number is (602) 352-9898.

What is Kaniz Islam's specialty?

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

Is Kaniz Islam enrolled in Medicare?

Yes. Kaniz Islam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kaniz Islam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaniz Islam reassigns Medicare benefits to 2 organizations: Aneeshi Health LLC (Laveen, AZ) and Ceb Capital LLC (Phoenix, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaniz Islam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaniz Islam accept?

Health plans from Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Kaniz Islam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaniz Islam was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.