Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Rascon

Individual provider Family Nurse Practitioner · NPI 1063157253

Amanda Rascon is a Nurse Practitioner in Glendale, Arizona. Qualified in 2022, 4 years ago. Practices with Neighborhood Outreach Access to Health, a 104-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

11851 N 51st Ave Ste B110
Glendale, AZ 85304-2823
Phone: (480) 882-4545
Fax: (623) 207-7410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 274285 (AZ)

Record details

NPI number1063157253
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 2, 2022
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025
Mailing address7500 N Dreamy Draw Dr Ste 145, Phoenix, AZ 85020-4668

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Neighborhood Outreach Access To Health — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Glendale