Active NPI
Erica Thorne, NP
- Family Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1003770918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 338360
- Practice address
- 612 W Baseline Rd
Mesa, AZ 85210-6041 - Phone
- (480) 834-9039
- Fax
- (480) 964-7802
- NPI assigned
- Dec 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 338360 | AZ | Primary |
Addresses
Primary practice location
612 W Baseline Rd
Mesa, AZ 85210-6041
Mailing address
612 W Baseline Rd
Mesa, AZ 85210-6041
Phone (480) 834-9039
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4401 E Janice Way
Phoenix, AZ 85032-8511
612 W Baseline Rd
Mesa, AZ 85210-6041
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN186119 | AZ | MD | Family Medicine Physician |
| 338360 | AZ | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781481600000",
"number": "1003770918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "612 W BASELINE RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852106041",
"telephone_number": "480-834-9039",
"fax_number": "480-964-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "612 W BASELINE RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852106041",
"telephone_number": "480-834-9039",
"fax_number": "480-964-7802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNE",
"first_name": "ERICA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-15",
"last_updated": "2026-06-15",
"certification_date": "2026-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "338360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.