Individual provider Active NPI

Donald Lee Pierce, FNP

  • Family Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1013912294
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
638 Issued in AZ
Practice address
1812 N Pearl LN
Prescott, AZ 86301-7931
Phone
(602) 526-0628
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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 638 AZ Primary

Addresses

Primary practice location

1812 N Pearl LN
Prescott, AZ 86301-7931

Mailing address

1812 N Pearl LN
Prescott, AZ 86301-7931
Phone (602) 526-0628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150120000261 AZ Practitioner - Nurse Practitioner 4183780695 Reassigns benefits to 1 organization
I20260618001809 ME Practitioner - Nurse Practitioner 4183780695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15508 W Bell Rd
Suite 543
Surprise, AZ 85374-2432

240 Indian River Rd
Suite C7
Orange, CT 06477-3690

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
638AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Casa de Capri Enterprises PastSince Feb 1, 2009 Accepting new patients
Hallmark Nevada Too, LLC Past Accepting new patients
Kidney Guardian Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334793600000",
    "number": "1013912294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 N PEARL LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863017931",
            "telephone_number": "602-526-0628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 N PEARL LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863017931",
            "telephone_number": "602-526-0628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "DONALD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2012-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.