MRS. WENDY KAYE POURBASTANI ANP-BC
NPI 1508801218
Nurse Practitioner - Adult Health in Mesa, AZ

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

Active since June 17, 2006PECOS Enrolled

6950 E WILLIAMS FIELD RD, CARL T. HAYDEN VA MEDICAL CENTER, SOUTHEAST CLINIC, MESA, AZ 85212(602) 222-6568(602) 222-6496 Get Directions Write a Review

NPPES record last updated: May 2, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mrs. Wendy Kaye Pourbastani Anp-bc NPPES

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

MRS. WENDY KAYE POURBASTANI ANP-BC (NPI 1508801218) is an individual adult health provider in Mesa, Arizona, licensed in Arizona (RN068727) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508801218

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. WENDY KAYE POURBASTANICredential: ANP-BC

Location Address6950 E WILLIAMS FIELD RD, CARL T. HAYDEN VA MEDICAL CENTER, SOUTHEAST CLINICMesa, AZ 85212-6033

Mailing Address1120 E Hearne WayGilbert, AZ 85234-6018 · (480) 497-9882

Phone(602) 222-6568

Fax(602) 222-6496

Sole ProprietorYes

Enumeration DateJune 17, 2006

Last NPPES UpdateMay 2, 2013

✔ NPI 1508801218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in AZ · RN068727

6950 E WILLIAMS FIELD RD, Mesa, AZ 85212

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Wendy Kaye Pourbastani Anp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85212 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.