AMBER VAN DAM FNP
NPI 1629887260
Nurse Practitioner - Family in Phoenix, AZ

Active since January 07, 2025PECOS EnrolledAccepts Medicare Assignment
1441 N 12TH ST, PHOENIX, AZ 85006(602) 521-5900 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2025, Jan 7, 2025 (2 updates tracked since 2025).

About Amber Van Dam Fnp NPPES

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

AMBER VAN DAM FNP (NPI 1629887260) is an individual family provider in Phoenix, Arizona, licensed in Arizona (237509) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1629887260
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMBER VAN DAMCredential: FNP
Location Address1441 N 12TH STPhoenix, AZ 85006-2837
Mailing Address12544 W Alegre DrLitchfield Park, AZ 85340-5540 · (708) 207-2134
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 7, 2025
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
NPI 1629887260 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 · 237509
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 237509 (AZ)
1441 N 12TH ST, Phoenix, AZ 85006

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

Amber Van Dam 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 ID7618488149
PECOS Enrollment IDI20250612003047
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 85006 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 20

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

Nurse Practitioner
1441 N 12TH ST
PHOENIX, AZ 85006
Student in an Organized Health Care Education/Training Program
1441 N 12TH ST
PHOENIX, AZ 85006
Physician Assistant
1441 N 12TH ST
PHOENIX, AZ 85006
Physician Assistant
1441 N 12TH ST
PHOENIX, AZ 85006
Obstetrics & Gynecology
1441 N 12TH ST
PHOENIX, AZ 85006
Nurse Practitioner (Family)
1441 N 12TH ST
PHOENIX, AZ 85006
Surgery
1441 N 12TH ST
PHOENIX, AZ 85006
Internal Medicine (Hematology & Oncology)
1441 N 12TH ST
PHOENIX, AZ 85006

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 Amber Van Dam's NPI number?

The NPI number for Amber Van Dam is 1629887260. It was assigned to this individual provider in the NPPES registry on January 7, 2025.

Where is Amber Van Dam located?

Amber Van Dam practices at 1441 N 12th St, Phoenix, AZ 85006. The listed phone number is (602) 521-5900.

What is Amber Van Dam's specialty?

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

Is Amber Van Dam enrolled in Medicare?

Yes. Amber Van Dam 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 Amber Van Dam accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Amber Van Dam 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 Amber Van Dam was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.