Active NPI
John Andrew Prosser Jr., MSN, FNP-C
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP5143
- Practice address
- 2640 W Baseline Rd
Suite 111
Phoenix, AZ 85041-6492 - Phone
- (480) 677-8282
- Fax
- (480) 677-8283
- NPI assigned
- Sep 3, 2013
- Sex
- Male
- 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 | AP5143 | AZ | Primary |
Addresses
Primary practice location
2640 W Baseline Rd
Suite 111
Phoenix, AZ 85041-6492
Mailing address
4600 S Mill Ave
Ste 280
Tempe, AZ 85282-6850
Phone (480) 305-2888
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP5143 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Post-Acute Medical Services 1 PC | Current | Accepting new patients | |
| NM Pacs 2 LLC | Current | Accepting new patients | |
| CS Pacs 3 West LLC | Current | Accepting new patients | |
| Hospitalists of Arizona, LLC | Past | Accepting new patients | |
| Red Mountain Healthcare LLC | Past | Accepting new patients | |
| Good Health Medical, PLLC | Past | Accepting new patients | |
| Livn, P.C. | Past | Accepting new patients | |
| Higley Healthcare, Inc. | Past | Accepting new patients |
Locations
2012 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 938-0700
13620 N 55th Ave
Glendale, AZ 85304
Phone (602) 588-1047
1081 Kathleen Ave
Kingman, AZ 86401
Phone (928) 718-0777
5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400
5121 E Broadway Rd
Mesa, AZ 85206
Phone (480) 296-2680
3130 E Broadway Rd
Mesa, AZ 85204
Phone (480) 924-7777
255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988
8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121
2510 W Dunlap Ave
Ste 209
Phoenix, AZ 85021
2510 W Dunlap Ave
Ste 290
Phoenix, AZ 85021
2510 W Dunlap Ave
Phoenix, AZ 85021
Phone (970) 310-7517
864 Dougherty St
Prescott, AZ 86305
Phone (928) 778-9666
1045 Scott Dr
Prescott, AZ 86301
Phone (928) 717-1560
3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045
2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333
Interoperability endpoints
- https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
- Family Medicine Physician
- San Tan Valley, AZ
- NPI 1063573079
-
- Skilled Nursing Facility
- Mesa, AZ
- NPI 1568842854
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1578564860
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1245759307
-
- Skilled Nursing Facility
- Mesa, AZ
- NPI 1396269445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456963200000",
"number": "1053746503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 S MILL AVE",
"address_2": "STE 280",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852826850",
"telephone_number": "480-305-2888",
"fax_number": "480-305-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2640 W BASELINE RD",
"address_2": "SUITE 111",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850416492",
"telephone_number": "480-677-8282",
"fax_number": "480-677-8283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSSER",
"first_name": "JOHN",
"middle_name": "ANDREW",
"name_suffix": "Jr.",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-03",
"last_updated": "2016-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP5143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.