Individual provider Active NPI

Paul Hardt, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1205313798
Registry record updated Jan 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11591 Issued in AZ
Practice address
4212 N 16TH St
Phoenix, AZ 85016-5319
Phone
(602) 263-1200
Fax
(602) 263-1619
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP11591 AZ Primary

Addresses

Primary practice location

4212 N 16TH St
Phoenix, AZ 85016-5319

Mailing address

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190116004004 AZ Practitioner - Nurse Practitioner 9931445699 Reassigns benefits to 6 organizations
I20200331000514 TX Practitioner - Nurse Practitioner 9931445699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dhew Ind HLTH SV HLTH SVS and MNTL HLTH AdmGroup PAC ID 1759290901, 219 clinicians

Practice addresses (Care Compare)

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

Hospital & facility affiliations

  • Phoenix Indian Medical Center Hospital, Phoenix, AZ, CCN 030078

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Physicians Group Arizona PLLC CurrentSince Jan 20, 2024 Accepting new patients
Prisma Community Care CurrentSince Apr 28, 2020 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Current Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Jul 28, 2024 Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC CurrentSince Jul 28, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. CurrentSince Dec 23, 2021 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Jan 6, 2022 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC CurrentSince Jan 6, 2022 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 11, 2023 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 11, 2023 Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 Accepting new patients

Locations

2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443

19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

415 N Val Vista Dr
Ste 101
Mesa, AZ 85213
Phone (480) 654-5661

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1101 N Central Ave
Ste 200
Phoenix, AZ 85004
Phone (602) 307-5330

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

3244 S Mill Ave
Ste 101
Tempe, AZ 85282
Phone (480) 214-0621

2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100

3514 Cedar Springs Rd
Dallas, TX 75219
Phone (281) 415-6687

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFJCA

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705190400000",
    "number": "1205313798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1200",
            "fax_number": "602-263-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850165319",
            "telephone_number": "602-263-1200",
            "fax_number": "602-263-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDT",
        "first_name": "PAUL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2024-01-14",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.