Individual provider Active NPI

Summer Michelle Richardson, FNP

  • Family Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1215738414
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
319457 Issued in AZ
Practice address
20713 E Ocotillo Rd Ste 100
Queen Creek, AZ 85142-6117
Phone
(480) 882-9993
Fax
(480) 248-2377
NPI assigned
Mar 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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 319457 AZ Primary

Addresses

Primary practice location

20713 E Ocotillo Rd Ste 100
Queen Creek, AZ 85142-6117

Mailing address

20713 E Ocotillo Rd Ste 100
Queen Creek, AZ 85142-6117
Phone (480) 882-9993

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
I20250613002182 AZ Practitioner - Nurse Practitioner 4284145558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Medical Management LLCGroup PAC ID 4789947003, 3 clinicians

Practice addresses (Care Compare)

20713 E Ocotillo Rd
Suite 100
Queen Creek, AZ 85142-6117
Phone 4808829993101

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
319457AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Management, LLC CurrentSince Apr 28, 2025 Accepting new patients

Locations

20713 E Ocotillo Rd
Ste 100
Queen Creek, AZ 85142
Phone (480) 313-8319

Organizations & group practices 1

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": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1215738414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20713 E OCOTILLO RD STE 100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426117",
            "telephone_number": "480-882-9993",
            "fax_number": "480-248-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20713 E OCOTILLO RD STE 100",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426117",
            "telephone_number": "480-882-9993",
            "fax_number": "480-248-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "SUMMER",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "319457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.