Individual provider Active NPI

Junnesh Moushi, FNP

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1083395966
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218381 Issued in AZ
Practice address
18275 N 59TH Ave Ste 138
Glendale, AZ 85308-1253
Phone
(602) 564-0078
Fax
(602) 564-1154
NPI assigned
Jul 25, 2023
Last updated
May 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2026

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 218381 AZ Primary

Addresses

Primary practice location

18275 N 59TH Ave Ste 138
Glendale, AZ 85308-1253

Mailing address

18275 N 59TH Ave Ste 138
Glendale, AZ 85308-1253
Phone (602) 564-0078

Other practice location 1

12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021
Phone (623) 850-0026

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
I20230915002002 AZ Practitioner - Nurse Practitioner 6901260439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

18275 N 59TH Ave
Suite 138
Glendale, AZ 85308-1253
Phone (602) 564-0078

Merit-based Incentive Payment System (MIPS)

Final score
22.21 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
74.05

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218381AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tatum Highlands Medical Associates PLC CurrentSince Jul 31, 2023 Accepting new patients
Prescott Healthcare Solutions LLC Family CurrentSince Aug 21, 2023 Accepting new patients
Arizona Adult and Pediatric Medicine PC Past Accepting new patients

Locations

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

18275 N 59th Ave
Ste 138
Glendale, AZ 85308
Phone (602) 564-0078

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

26224 N Tatum Blvd
Ste 15A
Phoenix, AZ 85050
Phone (480) 663-9632

743 Miller Valley Rd
Prescott, AZ 86301
Phone (928) 443-1000

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

12361 W Bola Dr
Ste 109
Surprise, AZ 85378
Phone (623) 227-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24438/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1083395966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 138",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18275 N 59TH AVE STE 138",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081253",
            "telephone_number": "602-564-0078",
            "fax_number": "602-564-1154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12361 W Bola Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853789021",
            "country_code": "US",
            "telephone_number": "623-850-0026",
            "fax_number": "623-850-0027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOUSHI",
        "first_name": "JUNNESH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "218381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.