Spark Healing Az PLLC
NPI 1780406983 · Nurse Practitioner · Sun City West, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Spark Healing Az PLLC is a Nurse Practitioner organization in Sun City West, AZ (NPI 1780406983).
Provider details
- NPI number
- 1780406983
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Sushil Pandey, Member Manager(347) 239-6581
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-29
- Last updated
- 2025-09-01
- Certified
- 2025-09-01
Frequently asked questions
- What is Spark Healing Az PLLC's NPI number?
- Spark Healing Az PLLC's National Provider Identifier (NPI) is 1780406983, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spark Healing Az PLLC?
- Spark Healing Az PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Spark Healing Az PLLC located?
- Spark Healing Az PLLC's practice location on file with NPPES is 14506 W Granite Valley Dr Ste 225, Sun City West, AZ 85375-6013.
- What is Spark Healing Az PLLC's phone number?
- The practice phone number listed in the NPPES registry for Spark Healing Az PLLC is (888) 616-5912.
- Does Spark Healing Az PLLC accept Medicare?
- Spark Healing Az PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Spark Healing Az PLLC?
- The authorized official listed on Spark Healing Az PLLC's NPPES record is Sushil Pandey, Member Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spark Healing Az PLLC's NPI active?
- Yes — Spark Healing Az PLLC's NPI (1780406983) is active in the NPPES registry as of the last update on 2025-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.