Individual provider Active NPI

Rebecca Elizabeth McDermott, FNP-C

  • Nurse Practitioner
  • Sun City West, AZ
National Provider Identifier
1154952000
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
237334 Issued in AZ
Practice address
13940 W Meeker Blvd Ste 101
Sun City West, AZ 85375-4495
Phone
(623) 377-9929
Fax
(415) 252-7176
NPI assigned
Jan 29, 2020
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 237334 AZ Primary

Addresses

Primary practice location

13940 W Meeker Blvd Ste 101
Sun City West, AZ 85375-4495

Mailing address

14552 W Gelding Dr
Surprise, AZ 85379-5755
Phone (602) 849-1072

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
I20210127003582 AZ Practitioner - Nurse Practitioner 2769896067 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians

Practice addresses (Care Compare)

13940 W Meeker Blvd
Suite 101
Sun City West, AZ 85375-4495
Phone (888) 405-6396

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237334AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC Current Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Jan 21, 2024 Accepting new patients
Iora Senior Health, LLC CurrentSince Mar 20, 2024 Accepting new patients
Iora Senior Health, LLC CurrentSince Mar 20, 2024 Accepting new patients
Iora Senior Health, LLC Past Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

13940 W Meeker Blvd
Ste 101
Sun City West, AZ 85375
Phone (623) 377-9929

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1154952000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14552 W GELDING DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795755",
            "telephone_number": "602-849-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13940 W MEEKER BLVD STE 101",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754495",
            "telephone_number": "623-377-9929",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "REBECCA",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "237334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.