VICTORIA BAIN (FNP-C) – Family Nurse Practitioner, NPI 1407682602

VICTORIA BAIN (FNP-C) is a healthcare provider. based in Glendale, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 312832 (AZ). The NPI Number for VICTORIA BAIN (FNP-C) is 1407682602

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
VICTORIA BAIN (FNP-C)
NPI
1407682602
Phone
(602) 795-8710
Address
20280 N 59TH AVE STE 115-617
Enumeration Date
12 September 2024
Last Update Date
27 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6027958700
Graduation Year
2024 (2 years ago)
PAC ID
1254869282
Group Practice PAC ID
7214251396
Professional Enrollment ID
I20250103002515
Address ID
AZ853088535GL7200XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for VICTORIA BAIN (FNP-C)

  • 20280 N 59TH AVE STE 115-617

    GLENDALE, AZ 853086850

    Phone: (602) 795-8710

    Fax: (602) 795-8701

    Type: Mailing

  • 7200 W BELL RD STE F101

    GLENDALE, AZ 853088535

    Phone: (602) 795-8700

    Fax: (602) 795-8701

    Type: Location

  • 14420 W Meeker Blvd Ste 211

    Sun City West, AZ 853755288

    Phone: (602) 795-8700

    Type: Location

  • 1325 N Litchfield Rd Ste 120

    Goodyear, AZ 853951214

    Phone: (602) 795-8700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250103002515INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85308)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7214251396View full group profile
NameSpecialtyState
Anesthesiology, Interventional Pain ManagementCO
Pain Management, AnesthesiologyAZ
Physician AssistantAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Pain Management, AnesthesiologyAZ
C H I R O P R A C T I CAZ
Nurse PractitionerAZ
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is VICTORIA BAIN (FNP-C)'s NPI number?
VICTORIA BAIN (FNP-C)'s NPI is 1407682602 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to VICTORIA BAIN (FNP-C)?
You should see VICTORIA BAIN (FNP-C) as active in CMS-hosted NPPES data.
What kind of doctor is VICTORIA BAIN (FNP-C)?
VICTORIA BAIN (FNP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for VICTORIA BAIN (FNP-C)?
Travel planning: use Glendale, Arizona as the reference point for VICTORIA BAIN (FNP-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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