Individual provider Active NPI

Linda Jo Nelson, FNP

  • Family Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1013291707
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1418 Issued in AZ
Practice address
12075 E State Route 69 Ste B
Prescott Valley, AZ 86327-4569
Phone
(928) 772-1673
Fax
(928) 772-1674
NPI assigned
Sep 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP1418 AZ Primary

Addresses

Primary practice location

12075 E State Route 69 Ste B
Prescott Valley, AZ 86327-4569

Mailing address

12075 E State Route 69 Ste B
Prescott Valley, AZ 86327-4569
Phone (928) 772-1673

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060123000490 AZ Practitioner - Nurse Practitioner 2668496266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

12075 E State Route 69
Dewey, AZ 86327-4517
Phone (928) 772-1673

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP1418AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Malin Medical, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Prescott Healthcare Solutions LLC Family CurrentSince Feb 28, 2022 Accepting new patients
Integrative Cardiology PLLC Past Accepting new patients

Locations

1780 N State Route 89
Chino Valley, AZ 86323
Phone (480) 999-2559

12075 E State Route 69
Dewey, AZ 86327
Phone (928) 404-1488

3257 N Windsong Dr
Prescott Valley, AZ 86314
Phone (877) 928-9355

12075 E State Route 69
Ste B
Prescott Valley, AZ 86327
Phone (928) 772-1673

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

17301 E Spring Valley Rd
Ste F
Spring Valley, AZ 86333
Phone (928) 632-4909

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GEGFAD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785974400000",
    "number": "1013291707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12075 E STATE ROUTE 69 STE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863274569",
            "telephone_number": "928-772-1673",
            "fax_number": "928-772-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12075 E STATE ROUTE 69 STE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863274569",
            "telephone_number": "928-772-1673",
            "fax_number": "928-772-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "LINDA",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-29",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.