Nicholas Archer, M.S.N.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN201497 Issued in AZ

Practice address

18205 N 51St Ave
Suite 129
Glendale, AZ 85308-1490

Phone

(623) 398-8554

Fax

(623) 398-8278

NPI assigned

Oct 7, 2016

Last updated

Oct 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• Scottsdale Internal Medicine PLLC

  • Adult Health Clinical Nurse Specialist
  • Phoenix, AZ
  • NPI 1790050409
  Medicare reassignment
• Puerto Sonora Internal Medicine

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1427635408
  NPD
• Vitality Internal Medicine - Glendale LLC

  dba Mens Vitality Center

  • Primary Care Clinic/Center
  • Glendale, AZ
  • NPI 1336436690
  NPD (past)

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

{
    "created_epoch": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1053861583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE",
            "address_2": "SUITE 129",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081490",
            "telephone_number": "623-398-8554",
            "fax_number": "623-398-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18205 N 51ST AVE",
            "address_2": "SUITE 129",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081490",
            "telephone_number": "623-398-8554",
            "fax_number": "623-398-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "M.S.N.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN201497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma Aranda, FNP-C
• Miguel Arasa, M.D.
• Merhawit Alem Araya
• Arcadia Radiology Open MRI
• Arcadia Radiology Union Hills
• Rosalia Arcis
• Shahab Ardalan, D.D.S.
• Flor Natalie Arellano, NP
• Rosemary Arellano
• Aris Health Corp (Aris Physical Therapy)

• Family Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.

Verify at the official NPI Registry.