Active NPI
Simon N Parkinson, FNP-C
- Family Nurse Practitioner
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP2211
- Practice address
- 4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732 - Phone
- (480) 917-3706
- Fax
- (480) 353-2066
- NPI assigned
- Feb 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP2211 | AZ | Primary |
Addresses
Primary practice location
4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732
Mailing address
4045 W Chandler Blvd BLDG F
Chandler, AZ 85226-3732
Phone (480) 917-3706
Other practice location 1
1760 E Florence Blvd Ste 250
Casa Grande, AZ 85122-4769
Phone (480) 917-3706
Other practice location 2
298 W Los Alamos St
Gilbert, AZ 85233-8930
Phone (480) 783-0359
Other practice location 3
3124 Willow Creek Rd
Prescott, AZ 86301-6610
Phone (480) 917-3706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202071 | Medicaid | AZ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4045 W Chandler Blvd
BLDG F
Chandler, AZ 85226-3732
Phone (480) 494-2061
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.67 of 100
- Quality
- 94.26
- Promoting interoperability
- 87
- Improvement activities
- 40
- Cost
- 75.46
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP2211 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain and Spine Center PLC | Current | Accepting new patients | |
| Electrocellz LLC | Current | Accepting new patients | |
| Brain and Spine Center PLC | Current | Accepting new patients | |
| Brain and Spine Center PLC | Past | Accepting new patients |
Locations
1760 E Florence Blvd
Ste 250
Casa Grande, AZ 85122
Phone (480) 494-2062
655 S Dobson Rd
Ste 103
Chandler, AZ 85224
Phone (480) 508-1255
4045 W Chandler Blvd
Bldg F
Chandler, AZ 85226
Phone (480) 494-2061
3124 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 371-4700
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Chandler, AZ
- NPI 1780906396
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Chandler, AZ
- NPI 1972340933
-
- Neurology Physician
- Casa Grande, AZ
- NPI 1356639678
-
- Neurology Physician
- Chandler, AZ
- NPI 1033065719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1114990371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4045 W CHANDLER BLVD BLDG F",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852263732",
"telephone_number": "480-917-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4045 W CHANDLER BLVD BLDG F",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852263732",
"telephone_number": "480-917-3706",
"fax_number": "480-353-2066"
}
],
"practiceLocations": [
{
"address_1": "1760 E Florence Blvd Ste 250",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851224769",
"country_code": "US",
"telephone_number": "480-917-3706",
"fax_number": "480-353-2066",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "298 W Los Alamos St",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852338930",
"country_code": "US",
"telephone_number": "480-783-0359",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3124 Willow Creek Rd",
"address_purpose": "LOCATION",
"city": "Prescott",
"state": "AZ",
"postal_code": "863016610",
"country_code": "US",
"telephone_number": "480-917-3706",
"fax_number": "480-353-2066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKINSON",
"first_name": "SIMON",
"middle_name": "N",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP2211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202071",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.