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

Rhenita Fawagan, BSN-RN, MSN-AGACNP

Individual provider Nurse Practitioner · NPI 1902589278

Rhenita Fawagan, BSN-RN, MSN-AGACNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2023, 3 years ago. Practices with Sjhmc Physician Services, a 665-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2023
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

500 W Thomas Rd Ste 750&850
Phoenix, AZ 85013-4224
Phone: (602) 406-1150
Fax: (602) 406-1159
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 296214 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence 296214 (AZ)

Record details

NPI number1902589278
Entity typeIndividual (Type 1)
GenderFemale
Credentials BSN-RN , MSN-AGACNP
Sole proprietorYes
NPI enumeratedAugust 11, 2023
Last updated in NPPESAugust 27, 2025
Certification dateAugust 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Phoenix