Active NPI
Jennifer Ann Nies, FNP-BC
- Family Nurse Practitioner
- Casa Grande, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 229639
- Practice address
- 1653 E McMurray Blvd Ste 132
Casa Grande, AZ 85122-5934 - Phone
- (520) 876-0478
- NPI assigned
- Sep 28, 2022
- Sex
- Female
- 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 | 229639 | AZ | Primary |
Addresses
Primary practice location
1653 E McMurray Blvd Ste 132
Casa Grande, AZ 85122-5934
Mailing address
7169 S Dodane CT
Gilbert, AZ 85298-9098
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
215 Whitesell St NW
Suite B113
Orting, WA 98360-9363
Phone (253) 697-3080
222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788
311 S L St
Tacoma, WA 98405-3720
321 Ramsay Way
Suite 104
Kent, WA 98032-4544
Phone (253) 372-7960
345 Cooper Point Rd NW
Suite 103
Olympia, WA 98502-4461
Phone (360) 763-7515
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
5058 Main St
Suite 100
Tacoma, WA 98407-3148
Phone (253) 533-6770
5314 176TH St E
A
Tacoma, WA 98446-7507
Phone (253) 875-7630
7096 Lakeland Hills Way SE
Suite 103
Auburn, WA 98092-8438
Phone (253) 545-3650
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229639 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Washington, P.S. | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Gerald Muthu, LLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients |
Locations
1653 E McMurray Blvd
Ste 132
Casa Grande, AZ 85122
Phone (520) 876-0478
261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282
1925 140th Ave NE
Bellevue, WA 98005
Phone (425) 865-8060
3101 111th St SW
Unit Tu
Everett, WA 98204
Phone (425) 267-0299
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
9222 N Newport Hwy
Ste 1
Spokane, WA 99218
Phone (509) 467-4545
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Organizations & group practices 8
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1144764432
-
- Geriatric Medicine (Internal Medicine) Physician
- Casa Grande, AZ
- NPI 1760518369
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1023828431
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1720604069
-
- Urgent Care Clinic/Center
- Spokane, WA
- NPI 1881177681
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Community/Behavioral Health Agency
- Puyallup, WA
- NPI 1700925351
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1124742614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7169 S DODANE CT",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852989098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1653 E MCMURRAY BLVD STE 132",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851225934",
"telephone_number": "520-876-0478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIES",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "229639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.