Individual provider Active NPI

Simon N Parkinson, FNP-C

  • Family Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1114990371
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2211 Issued in AZ
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

Updated by the provider on Jan 4, 2022

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 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

IdentifierTypeStateIssuer
202071MedicaidAZ

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
I20070614000747 AZ Practitioner - Nurse Practitioner 1658479647 Reassigns benefits to 1 organization

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
Brain and Spine Center PLCGroup PAC ID 4789713843, 7 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
AP2211AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brain and Spine Center PLC CurrentSince Feb 3, 2018 Accepting new patients
Electrocellz LLC CurrentSince Jul 21, 2024 Accepting new patients
Brain and Spine Center PLC CurrentSince Feb 3, 2018 Accepting new patients
Brain and Spine Center PLC PastSince Feb 3, 2018 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.

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

Verify at the official NPI Registry.