Individual provider Active NPI

Suzanne F Benjamin, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1093765489
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN035803 Issued in AZ
Practice address
4222 N 12TH St Ste 102
Phoenix, AZ 85014-6023
Phone
(602) 265-4357
Fax
(602) 604-9352
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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 RN035803 AZ Primary

Addresses

Primary practice location

4222 N 12TH St Ste 102
Phoenix, AZ 85014-6023

Mailing address

4222 N 12TH St Ste 102
Phoenix, AZ 85014-6023
Phone (602) 265-4357

Other identifiers 1

IdentifierTypeStateIssuer
453324MedicaidAZ

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
I20060320000766 AZ Practitioner - Nurse Practitioner 5496762296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of North Dakota School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westview Family Medicine PCGroup PAC ID 8325058316, 7 clinicians

Practice addresses (Care Compare)

13065 W McDowell Rd
Suite A105
Avondale, AZ 85392-6440
Phone (623) 536-6788

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Home Care CurrentSince Dec 14, 2025 Accepting new patients
Westview Family Medicine, P.C. CurrentSince Jan 1, 2022 Accepting new patients
Stellar Family Medical Clinic LLC Family CurrentSince Nov 19, 2023 Accepting new patients
Clinica Medica del Sol, LLC CurrentSince Nov 1, 2019 Accepting new patients
Guggiari Med PC Family PastSince Mar 1, 2018 Accepting new patients

Locations

13065 W McDowell Rd
Ste A105
Avondale, AZ 85392
Phone (623) 536-6788

8811 N 51st Ave
Ste 107
Glendale, AZ 85302
Phone (623) 931-5001

636 W Southern Ave
Mesa, AZ 85210
Phone (480) 969-5817

3201 W Peoria Ave
Ste A100
Phoenix, AZ 85029
Phone (480) 256-1625

19841 N 27th Ave
Ste 100
Phoenix, AZ 85027
Phone (602) 375-1555

4222 N 12th St
Ste 102
Phoenix, AZ 85014
Phone (602) 265-4357

5040 N 15th Ave
Ste 101
Phoenix, AZ 85015
Phone (480) 575-7137

8022 N 27th Ave
Phoenix, AZ 85051
Phone (602) 513-3616

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FHIBAA/Endpoint/FHIBAA

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1093765489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4222 N 12TH ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850146023",
            "telephone_number": "602-265-4357",
            "fax_number": "602-604-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4222 N 12TH ST STE 102",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850146023",
            "telephone_number": "602-265-4357",
            "fax_number": "602-604-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJAMIN",
        "first_name": "SUZANNE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN035803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "453324",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.