Heidi Lynn Alton, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Prescott, AZ
NPI 1124595509 · NPPES record last updated Feb 2, 2026
Key facts
- NPI
- 1124595509
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 219761 (AZ)
- Practice address
- 802 Ainsworth Dr Ste a
Prescott, AZ 86301-1623 - Phone
- (928) 771-5548
- Fax
- (928) 771-5549
- NPI assigned
- Oct 24, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Yavapai Regional Medical Center Physician Care LLC
Practice addresses (Care Compare)
810 Ainsworth Dr
Suite a
Prescott, AZ 86301-1612
Phone (928) 771-5548
Hospital & facility affiliations
- Yavapai Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190221001184 | AZ | Practitioner - Nurse Practitioner | 9234477027 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219761 | AZ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yavapai Regional Medical Center Physician Care LLC | Current |
Accepting new patients | |
| Yavapai Regional Medical Center Physician Care LLC | Current | Accepting new patients | |
| Yavapai Regional Medical Center Physician Care LLC | Current |
Accepting new patients | |
| Prescott Gastroenterology | Past | Accepting new patients | |
| Doc Martins Inc a C C | Past |
Accepting new patients |
Locations
810 Ainsworth Dr
Ste A
Prescott, AZ 86301
Phone (928) 771-5548
3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818
802 Ainsworth Dr
Ste A
Prescott, AZ 86301
Phone (928) 445-6025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 219761 | AZ | Yes |
Addresses
Primary practice location
802 Ainsworth Dr Ste a
Prescott, AZ 86301-1623
Mailing address
PO Box 10880
Prescott, AZ 86304-0880
Phone (602) 406-4786
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 526609 | Medicaid | AZ |
Other providers in Prescott, AZ
- William Allen
- Melissa Alley
- Alliance Homecare & Mobile Diagnostics, LLC
- Brian S Allshouse
- Elise Almagambetova
- Always Yours LLC
- Amanda Wikan LLC
- Nicole Amato
- Amedisys Arizona LLC
- Nina Ameli
All providers in Prescott, AZ · Adult Health Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.