Individual provider Active NPI

Trista Renee Simon, FNP-C

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1083210199
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
250120 Issued in AZ
Practice address
25036 N 107TH Way
Scottsdale, AZ 85255-8708
Phone
(026) 525-1381
NPI assigned
Dec 5, 2020
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 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 250120 AZ Primary

Addresses

Primary practice location

25036 N 107TH Way
Scottsdale, AZ 85255-8708

Mailing address

25036 N 107TH Way
Scottsdale, AZ 85255-8708
Phone (602) 525-1381

Other names 1

  • Trista Renee Huerta Former name

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
I20220711002794 AZ Practitioner - Nurse Practitioner 3870973662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Lee Averitte Jr PLLCGroup PAC ID 9638069099, 31 clinicians

Practice addresses (Care Compare)

20401 N 73Rd St
Suite 230
Scottsdale, AZ 85255-4153
Phone (480) 556-0446

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Lee Averitte Jr PLLC CurrentSince Aug 4, 2025 Accepting new patients

Locations

1459 S Higley Rd
Ste 106
Gilbert, AZ 85296
Phone (480) 543-6780

9520 W Palm Ln
Ste 115
Phoenix, AZ 85037

20401 N 73rd St
Ste 230
Scottsdale, AZ 85255

7331 E Osborn Dr
Ste 330
Scottsdale, AZ 85251
Phone (480) 990-1111

2127 E Baseline Rd
Ste 104
Tempe, AZ 85283
Phone (480) 897-7070

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1083210199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25036 N 107TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558708",
            "telephone_number": "602-525-1381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25036 N 107TH WAY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852558708",
            "telephone_number": "026-525-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "TRISTA",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "250120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISTA",
            "last_name": "HUERTA",
            "middle_name": "RENEE",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.