Individual provider Active NPI

Seth Thomas Six, FNP-C

  • Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1164039988
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
65849 Issued in ID
Practice address
560 N Camino Mercado Ste 7
Casa Grande, AZ 85122-5759
Phone
(520) 836-5538
Fax
(844) 772-0049
NPI assigned
Sep 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 295437 AZ
Nurse Practitioner 363L00000X 65849 ID Primary

Addresses

Primary practice location

560 N Camino Mercado Ste 7
Casa Grande, AZ 85122-5759

Mailing address

560 N Camino Mercado Ste 7
Casa Grande, AZ 85122-5759
Phone (520) 836-5538

Other practice location 1

3315 8th St
Lewiston, ID 83501-4966
Phone (208) 743-9543

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
I20231031003772 AZ Practitioner - Nurse Practitioner 3678985645 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Healthcare Medical Associates of Arizona PCGroup PAC ID 5597946350, 33 clinicians

Practice addresses (Care Compare)

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000

Hospital & facility affiliations

  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
  • Banner Gateway Medical Center Hospital, Gilbert, AZ, CCN 030122

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Arizona CurrentSince Oct 18, 2023 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Feb 1, 2025 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Feb 1, 2025 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Feb 1, 2025 Accepting new patients
Quantum Healthcare Medical Associates of Arizona, PC CurrentSince Apr 1, 2024 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Prescott Healthcare Solutions LLC Family CurrentSince Oct 7, 2023 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Feb 1, 2025 Accepting new patients
Sundance Medical Associates PLLC Past Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

560 N Camino Mercado
Ste 7
Casa Grande, AZ 85122
Phone (520) 836-5538

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

2946 E Banner Gateway Dr
Rm 2008
Gilbert, AZ 85234
Phone (480) 256-4523

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

13755 N Litchfield Rd
Ste 105
Surprise, AZ 85379
Phone (623) 248-7404

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 9

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.

Hospital & facility affiliations 2

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": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1164039988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N CAMINO MERCADO STE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225759",
            "telephone_number": "520-836-5538",
            "fax_number": "844-772-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N CAMINO MERCADO STE 7",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225759",
            "telephone_number": "520-836-5538",
            "fax_number": "844-772-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3315 8th St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835014966",
            "country_code": "US",
            "telephone_number": "208-743-9543",
            "fax_number": "208-743-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIX",
        "first_name": "SETH",
        "middle_name": "THOMAS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-25",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "295437",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "65849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.