Active NPI
Joan Meyers, PAC
- Physician Assistant
- Prescott, AZ
National Provider Identifier
1184652075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- AZ1390
- Practice address
- 726 Gail Gardner Way
Prescott, AZ 86305-2337 - Phone
- (928) 445-5211
- Fax
- (928) 445-5189
- NPI assigned
- Jun 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP1204 | AZ | |
| Physician Assistant | 363A00000X | AZ1390 | AZ | Primary |
Addresses
Primary practice location
726 Gail Gardner Way
Prescott, AZ 86305-2337
Mailing address
726 Gail Gardner Way
Prescott, AZ 86305-2337
Phone (928) 445-5211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110255 | Medicaid | AZ |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZ1390 | AZ | MD | Physician Assistant |
| AP1204 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connectionsaz, LLC | Current | Accepting new patients | |
| West Yavapai Guidance Clinic, Inc | Past | Accepting new patients | |
| Community Partners Integrated Healthcare, Inc. | Past | Accepting new patients | |
| West Yavapai Guidance Clinic | Past | Accepting new patients | |
| Trinity West | Past | Accepting new patients | |
| Medical Services of Prescott, Inc. | Past | Accepting new patients | |
| Community Partners Integrated Healthcare, Inc. | Past | Accepting new patients |
Locations
1201 S 7th Ave
Ste 150
Phoenix, AZ 85007
Phone (602) 253-5100
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.
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1083840953
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1972985547
-
- Multi-Specialty Clinic/Center
- Yuma, AZ
- NPI 1457459091
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1669897385
-
- Emergency Medicine Physician
- Prescott, AZ
- NPI 1508816257
-
- Psychiatric Hospital
- Prescott, AZ
- NPI 1023836533
-
- Psychiatric Hospital
- Prescott, AZ
- NPI 1952550071
-
- Family Medicine Physician
- Steubenville, OH
- NPI 1043234677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1184652075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "726 GAIL GARDNER WAY",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863052337",
"telephone_number": "928-445-5211",
"fax_number": "928-445-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "726 GAIL GARDNER WAY",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863052337",
"telephone_number": "928-445-5211",
"fax_number": "928-445-5189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "JOAN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP1204",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "AZ1390",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110255",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.