Individual provider Active NPI

Janette Nicole Reeves, FNP

  • Family Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1104578285
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
266689 Issued in AZ
Practice address
21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Phone
(480) 512-3700
NPI assigned
Jan 20, 2022
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 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 266689 AZ Primary

Addresses

Primary practice location

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709

Mailing address

21772 S Ellsworth Loop Rd
Queen Creek, AZ 85142-7709
Phone (480) 512-3700

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
I20241120003843 AZ Practitioner - Nurse Practitioner 4486189982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Enticare PCGroup PAC ID 2264532779, 19 clinicians

Practice addresses (Care Compare)

2051 W Chandler Blvd
Suite 5
Chandler, AZ 85224-6239
Phone (480) 214-9000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266689AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enticare PC CurrentSince Nov 1, 2024 Accepting new patients
Scottsdale Pediatrics and Pediatric Nephrology, PLLC CurrentSince Feb 1, 2022 Accepting new patients
Enticare PC CurrentSince Nov 11, 2024 Accepting new patients
Leading Healthcare, LLC Past Accepting new patients
Leading Healthcare Clinic of Goodyear LLC Family PastSince Feb 1, 2023 Accepting new patients

Locations

1968 N Peart Rd
Ste 20
Casa Grande, AZ 85122

1120 S Dobson Rd
Ste 125
Chandler, AZ 85286
Phone (480) 585-5200

1120 S Dobson Rd
Ste B125
Chandler, AZ 85286

2051 W Chandler Blvd
Ste 5
Chandler, AZ 85224
Phone (480) 672-2964

7010 E Chauncey Ln
Ste 225
Phoenix, AZ 85054
Phone (480) 360-0456

36457 N Gantzel Rd
Ste 101
San Tan Valley, AZ 85140

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, 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": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1104578285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21772 S ELLSWORTH LOOP RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427709",
            "telephone_number": "480-512-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21772 S ELLSWORTH LOOP RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851427709",
            "telephone_number": "480-512-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVES",
        "first_name": "JANETTE",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "266689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.