ALLYSON SAMBACH DNP, PMHNP-BC - NPI 1750910337 - Nurse Practitioner in Glendale, AZ

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Allyson Sambach was last updated on October 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

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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 Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc..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

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.

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 8

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

DR. RACHEL PATRICE MARTINEZ DNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)