Individual provider Active NPI

Catherine A Kefer, ANP

  • Adult Health Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1043360753
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
290917 Issued in AZ
Practice address
5430 Landmark LN
Prescott, AZ 86301-0019
Phone
(971) 262-9600
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 209-006279 IL
Adult Health Nurse Practitioner 363LA2200X 201250065NP OR
Adult Health Nurse Practitioner 363LA2200X 290917 AZ Primary

Addresses

Primary practice location

5430 Landmark LN
Prescott, AZ 86301-0019

Mailing address

PO Box 910221
Dallas, TX 75391-3011
Phone (520) 519-7700

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
I20231013001937 AZ Practitioner - Nurse Practitioner 8224130547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loyola University of Chicago, Stritch School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Oncology Associates PCGroup PAC ID 9638067911, 42 clinicians
City of Hope Medical Group of Arizona LLCGroup PAC ID 2264593474, 159 clinicians

Practice addresses (Care Compare)

3188 N Windsong Dr a
Prescott Valley, AZ 86314-1220
Phone (928) 775-9430

5430 Landmark LN
Prescott, AZ 86301-0019
Phone (928) 775-9430

Hospital & facility affiliations

  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012
  • Verde Valley Medical Center Hospital, Cottonwood, AZ, CCN 030007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290917AZMDAdult Health Nurse Practitioner
209-006279ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Oncology Associates PC CurrentSince Nov 1, 2023 Accepting new patients
City of Hope Medical Group of Arizona LLC Nurse Practitioner CurrentSince Mar 9, 2026 Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

1100 Gail Gardner Way
Prescott, AZ 86305
Phone (520) 776-1040

5430 Landmark Ln
Prescott, AZ 86301
Phone (928) 775-9430

3188 N Windsong Dr
Ste A
Prescott Valley, AZ 86314
Phone (928) 775-9430

2625 N Craycroft Rd
Ste 221
Tucson, AZ 85712
Phone (520) 324-2462

2625 N Craycroft Rd
Ste 20
Tucson, AZ 85712
Phone (520) 324-2409

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

Organizations & group practices 2

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 3

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1043360753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910221",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753913011",
            "telephone_number": "520-519-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 LANDMARK LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863010019",
            "telephone_number": "971-262-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEFER",
        "first_name": "CATHERINE",
        "middle_name": "A",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209-006279",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OR",
            "license": "201250065NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "290917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.