PETER PAUL MOHEB HENNIS AGNP
NPI 1588233175
Nurse Practitioner - Gerontology in Casa Grande, AZ

Active since June 18, 2021PECOS EnrolledAccepts Medicare Assignment
520 N CAMINO MERCADO STE 1, CASA GRANDE, AZ 85122(520) 557-5600(480) 494-2771 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2024, Jun 18, 2021 (2 updates tracked since 2021).

About Peter Paul Moheb Hennis Agnp NPPES

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

PETER PAUL MOHEB HENNIS AGNP (NPI 1588233175) is an individual gerontology provider in Casa Grande, Arizona, licensed in Arizona (258473) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Gilbert, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1588233175
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NamePETER PAUL MOHEB HENNISCredential: AGNP
Location Address520 N CAMINO MERCADO STE 1Casa Grande, AZ 85122-5754
Mailing Address2451 E Baseline RdGilbert, AZ 85234-2471 · (480) 494-2770 · Fax (480) 494-2771
Fax(480) 494-2771
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 18, 2021
Last NPPES UpdateOctober 17, 20242 updates tracked since enumeration
NPPES CertifiedOctober 17, 2024
NPI 1588233175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in AZ · 258473
520 N CAMINO MERCADO STE 1, Casa Grande, AZ 85122

Secondary Practice Location 1

Location 12451 E Baseline Rd Ste 425Gilbert, AZ 85234-0049 · Phone (480) 494-2770 · Fax (480) 494-2771

Accepted 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

Peter Paul Moheb Hennis Agnp 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 ID9638572035
PECOS Enrollment IDI20210728002566
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 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.
127 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
120 services99 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
86 services42 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
77 services77 patients
Testing of autonomic nervous system function and heart rate response to deep breathing 95921
This test studies the autonomic nervous system, which controls body functions like heart rate. During the test, you'll breathe deeply while the heart rate is monitored. This helps identify any irregularities in the heart's response to breathing changes.
43 services42 patients
Testing of autonomic (sympathetic) nervous system function 95923
Testing of autonomic nervous system function assesses how well your body's automatic processes, like heart rate and blood pressure, are working. It involves various non-invasive tests like heart rate variability and sweat production tests.
43 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85122 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.

Nurse Practitioner (Family)
520 N CAMINO MERCADO STE 1
CASA GRANDE, AZ 85122

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 Peter Hennis's NPI number?

The NPI number for Peter Hennis is 1588233175. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Peter Hennis located?

Peter Hennis practices at 520 N Camino Mercado Ste 1, Casa Grande, AZ 85122. The listed phone number is (520) 557-5600.

What is Peter Hennis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Peter Hennis enrolled in Medicare?

Yes. Peter Hennis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Peter Hennis accept?

Health plans from Blue Cross Blue Shield of Arizona list Peter Hennis 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 Peter Hennis was last updated on October 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.