Individual provider Active NPI

Micheal Anthony Kaiser, APRN-RNP

  • Family Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1053037812
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
281987 Issued in AZ
Practice address
302 El Camino Real Ste 11a
Sierra Vista, AZ 85635-2825
Phone
(520) 255-5475
Fax
(855) 801-7998
NPI assigned
Oct 13, 2022
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 281987 AZ Primary

Addresses

Primary practice location

302 El Camino Real Ste 11a
Sierra Vista, AZ 85635-2825

Mailing address

1200 Sierra Dr
Sierra Vista, AZ 85635-2038
Phone (520) 224-4706

Other practice location 1

1590 Paseo San Luis Ste 101
Sierra Vista, AZ 85635-4783
Phone (520) 220-5711

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
I20230222001556 AZ Practitioner - Nurse Practitioner 0446628267 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeffrey Wilde MD PLLCGroup PAC ID 6901138049, 7 clinicians

Practice addresses (Care Compare)

302 El Camino Real
Sierra Vista, AZ 85635-2860
Phone (520) 255-5475

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281987AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bisbee Hospital Association CurrentSince Apr 1, 2023 Accepting new patients
Benson Hospital Corporation CurrentSince Jul 1, 2025 Accepting new patients
Benson Hospital Corporation CurrentSince Jul 1, 2025 Accepting new patients
Jeffrey Wilde MD PLLC CurrentSince Jul 28, 2025 Accepting new patients
Jeffrey Wilde MD PLLC Family CurrentSince Oct 13, 2022 Accepting new patients
Bisbee Hospital Association Current Accepting new patients
Indigo Healthcare LLC CurrentSince Nov 1, 2024 Accepting new patients
Copper Queen Medical Associates Douglas CurrentSince Apr 1, 2023 Accepting new patients
Bacchus PC Past Accepting new patients
Robert E Mutterperl DO SC PastSince Mar 1, 2009 Accepting new patients
Joe a. Santos, Acsw, LCSW, PLLC PastSince Oct 16, 2022 Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

100 E 5th St
Douglas, AZ 85607
Phone (520) 364-7659

1990 McCulloch Blvd N
Ste 109
Lake Havasu City, AZ 86403
Phone (928) 505-6473

302 El Camino Real
Bldg 11
Sierra Vista, AZ 85635
Phone (520) 204-1358

302 El Camino Real
Ste 11
Sierra Vista, AZ 85635
Phone (520) 255-5475

302 El Camino Real
Ste 11A
Sierra Vista, AZ 85635
Phone (520) 255-5475

75 Colonia de Salud
Ste 200B
Sierra Vista, AZ 85635
Phone (520) 320-7999

1916 N 700 W
Ste 110
Layton, UT 84041
Phone (801) 444-0221

Interoperability endpoints

  • Direct secure messaging: micheal.kaiser.1@18129.direct.athenahealth.com
  • Direct secure messaging: micheal.kaiser.1@20478.direct.athenahealth.com

Organizations & group practices 11

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

Hospital & facility affiliations 6

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": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1053037812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SIERRA DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352038",
            "telephone_number": "520-224-4706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 EL CAMINO REAL STE 11A",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352825",
            "telephone_number": "520-255-5475",
            "fax_number": "855-801-7998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1590 Paseo San Luis Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856354783",
            "country_code": "US",
            "telephone_number": "520-220-5711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER",
        "first_name": "MICHEAL",
        "middle_name": "ANTHONY",
        "credential": "APRN-RNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "281987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.