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ALLYSON SAMBACH DNP, PMHNP-BC
NPI 1750910337
Nurse Practitioner - Psychiatric/Mental Health in Glendale, AZ

Active since April 05, 2020PECOS EnrolledAccepts Medicare Assignment
11851 N 51ST AVE STE F140, GLENDALE, AZ 85304(480) 882-4545(623) 242-1314 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 3, 2023, Feb 9, 2022, Jun 25, 2020 and 1 more (4 updates tracked since 2020).

About Allyson Sambach Dnp, Pmhnp-bc NPPES

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

ALLYSON SAMBACH DNP, PMHNP-BC (NPI 1750910337) is an individual psychiatric/mental health provider in Glendale, Arizona, licensed in Arizona (240171) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chandler, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1750910337
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameALLYSON SAMBACHCredential: DNP, PMHNP-BC
Location Address11851 N 51ST AVE STE F140Glendale, AZ 85304-2847
Mailing Address7500 N Dreamy Draw Dr Ste 145Phoenix, AZ 85020-4668 · (480) 882-4545 · Fax (602) 409-0499
Phone(480) 882-4545
Fax(623) 242-1314
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 5, 2020
Last NPPES UpdateOctober 3, 20234 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1750910337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 240171
11851 N 51ST AVE STE F140, Glendale, AZ 85304
Open in Google Maps ↗

Secondary Practice Location 1

Location 12190 N Grace BlvdChandler, AZ 85225-3416 · Phone (480) 415-1833

Other Identifiers 2

Medicaid005674AZ
Other240171AZ · License Number

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Allyson Sambach Dnp, Pmhnp-bc 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 ID648690032
PECOS Enrollment IDI20201023002993
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 Allyson Sambach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neighborhood Outreach Access To Health
Same address
Federally Qualified Health Center (FQHC)
11851 N 51ST AVE STE B110
Glendale, AZ 85304
  • Reassigned Medicare billing, Arizona enrollment
  • 119 clinicians in this Medicare group
NPI 1629515218 (480) 882-4545
Southwestern Children's Health Services, Inc.
32 mi
Mental Health (Including Community Mental Health Center)
1425 S HIGLEY RD STE 104
Gilbert, AZ 85296
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Southwestern Childrens Health Services Inc
  • 3 clinicians in this Medicare group
NPI 1578951448 (480) 917-9301

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 85304 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 10

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

ASHLEY B FELDKAMP
Social Worker (Clinical)
11851 N 51ST AVE STE F140
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
CAESAR FERNANDO RANGEL PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
11851 N 51ST AVE STE F140
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
VALORI ROY
Counselor (Mental Health)
11851 N 51ST AVE STE F140
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
STANLEY CHUKWUMA ALADI LPC
Counselor (Professional)
11851 N 51ST AVE STE F140
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
11851 N 51ST AVE STE F140
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
NEIGHBORHOOD OUTREACH ACCESS TO HEALTH
Pharmacy (Community/Retail Pharmacy)
11851 N 51ST AVE STE F140
GLENDALE, AZ 85304
Maricopa County (480) 903-3258
MILITZA MONGE CORTES LCSW
Social Worker (Clinical)
11851 N 51ST AVE STE F140
GLENDALE, AZ 85304
Maricopa County (480) 882-4545
NOEMI CARRASCO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
11851 N 51ST AVE STE F140
GLENDALE, AZ 85304
Maricopa County (480) 882-4545

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 Allyson Sambach's NPI number?

The NPI number for Allyson Sambach is 1750910337. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Allyson Sambach located?

Allyson Sambach practices at 11851 N 51st Ave Ste F140, Glendale, AZ 85304. The listed phone number is (480) 882-4545.

What is Allyson Sambach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Allyson Sambach enrolled in Medicare?

Yes. Allyson Sambach 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.

Which organizations bill Medicare for Allyson Sambach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allyson Sambach reassigns Medicare benefits to 2 organizations: Neighborhood Outreach Access To Health (Glendale, AZ) and Southwestern Children's Health Services, Inc. (Gilbert, 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 Allyson Sambach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allyson Sambach accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Imperial Insurance Companies, Inc. and 1 other insurer list Allyson Sambach 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 Allyson Sambach was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.