Individual provider Active NPI

Jenna Leigh Volstromer, AGNP

  • Gerontology Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1093250870
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP9756 Issued in AZ
Practice address
9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454
Phone
(602) 584-5444
Fax
(602) 584-6202
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X RN205258 AZ
Gerontology Nurse Practitioner 363LG0600X AP9756 AZ Primary

Addresses

Primary practice location

9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454

Mailing address

9520 W Palm LN Ste 150
Phoenix, AZ 85037-4454
Phone (602) 584-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN205258AZMDGerontology Registered Nurse
AP9756AZMDGerontology Nurse Practitioner

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16508/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1093250870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9520 W PALM LN STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374454",
            "telephone_number": "602-584-5444",
            "fax_number": "602-584-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9520 W PALM LN STE 150",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850374454",
            "telephone_number": "602-584-5444",
            "fax_number": "602-584-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLSTROMER",
        "first_name": "JENNA",
        "middle_name": "LEIGH",
        "name_prefix": "Miss",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "AZ",
            "license": "RN205258",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP9756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.