Jacqueline Lea Agenbroad , NP
Nurse Practitioner • Phoenix, AZ
Professional Overview & Biography Verified Profile Summary
Jacqueline Agenbroad, NP is a registered healthcare professional specializing in Nurse Practitioner in Phoenix, AZ. Practice services are available at 1300 N 12TH ST under active NPI credentials.
Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
1300 N 12th St
Suite 407
Phoenix, AZ 850062848
Specialty Benchmarks & Practice Insights
Comparative analytics for Nurse Practitioner in Phoenix, AZ
Practicing in Phoenix, AZ (1459 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
15 | 15 | $184.00 | $61.61 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Obstetrics & Gynecology - Obstetrics
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 1300 N 12TH ST, SUITE 407, PHOENIX, AZ 850062848 (Tel: 6022396762)
Registered at 12895 W PASADENA AVE, LITCHFIELD PARK, AZ 85340 (Tel: 6239352373)
Recorded as JACQUELINE AGENBROAD, NP
Nurse Practitioner (License #NP290 in AZ)
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
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NPI Administrative Meta
Mailing Address
12895 W Pasadena Ave
Litchfield Park, AZ 85340
Phone: 6239352373
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