Tyler Ann Brockhoff, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP9993 Issued in AZ

Practice address

1710 N 16TH St Ste F1
Phoenix, AZ 85006-1903

Phone

(623) 224-3618

Fax

(623) 244-1595

NPI assigned

Mar 21, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Athena Medical Group

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1164918124
  Medicare reassignment
• Southwest Behavioral Health

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1023023603
  NPD (past)
• Southwest Behavioral Health Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flagstaff, AZ
  • NPI 1316170368
  NPD (past)
• Southwest Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bullhead City, AZ
  • NPI 1386932523
  NPD (past)
• Southwest Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1407165392
  NPD (past)
• Southwest Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kingman, AZ
  • NPI 1851610117
  NPD (past)
• Southwest Behavioral Health Services,Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bullhead City, AZ
  • NPI 1093942161
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1003347147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N 16TH ST STE F1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061903",
            "telephone_number": "623-224-3618",
            "fax_number": "623-244-1595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N 16TH ST STE F1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850061903",
            "telephone_number": "623-224-3618",
            "fax_number": "623-244-1595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKHOFF",
        "first_name": "TYLER",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian Brock Andersen, DNP, FNP-BC
• Brock Surgical Group, LLC
• Andrea Kay Brock, ANP
• Kimberly Brown Brockenbrough, M.D.
• Jordan Robert Brocker, DPT
• Joyce Lynn Brockman, R.N.
• Natalie Brockman
• Franc W Brodar
• John Broderick, MD
• Karen R Broderick, ACNP

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.