Active NPI
Austin Childs, MSN
- Registered Nurse
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN192874
- Practice address
- 16575 W Waddell Rd
Surprise, AZ 85388-9627 - Phone
- (623) 300-9110
- NPI assigned
- Jul 25, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 262007 | AZ | |
| Registered Nurse | 163W00000X | RN192874 | AZ | Primary |
Addresses
Primary practice location
16575 W Waddell Rd
Surprise, AZ 85388-9627
Mailing address
16575 W Waddell Rd
Surprise, AZ 85388-9627
Phone (623) 300-9110
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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 84.12 of 100
- Quality
- 76.35
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.55
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN192874 | AZ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Nextcare Arizona LLC | Current | Accepting new patients | |
| Banner Primary Care Physicians Arizona LLC | Past | Accepting new patients |
Locations
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060
3850 W Greenway Rd
Ste 150
Phoenix, AZ 85053
Phone (480) 508-5777
914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620
9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666
1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055
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 and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1043371826
-
- Primary Care Clinic/Center
- Phoenix, AZ
- NPI 1417238908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722124800000",
"number": "1093488231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16575 W WADDELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853889627",
"telephone_number": "623-300-9110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16575 W WADDELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853889627",
"telephone_number": "623-300-9110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDS",
"first_name": "AUSTIN",
"credential": "MSN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-25",
"last_updated": "2024-07-28",
"certification_date": "2024-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "262007",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN192874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.