Individual provider Active NPI

Theresa Krueger-Junk, NP

  • Family Nurse Practitioner
  • Sun City West, AZ
National Provider Identifier
1225400500
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5263-33 Issued in WI
Practice address
14418 W Meeker Blvd Ste 210
Sun City West, AZ 85375-5291
Phone
(623) 544-8400
Fax
(623) 544-8989
NPI assigned
Oct 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 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 5263-33 WI Primary

Addresses

Primary practice location

14418 W Meeker Blvd Ste 210
Sun City West, AZ 85375-5291

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 579-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AZ2 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
I20160210002421 WI Practitioner - Nurse Practitioner 4082918198 Reassigns benefits to 2 organizations
I20210804003301 AZ Practitioner - Nurse Practitioner 4082918198 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14418 W Meeker Blvd
Suite 210
Sun City West, AZ 85375-5291
Phone (623) 544-8400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5263-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Leading Healthcare Clinic of Goodyear LLC Family CurrentSince May 11, 2022 Accepting new patients
Baycare Clinic LLP CurrentSince Feb 1, 2016 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jun 1, 2024 Accepting new patients
Summit Medical Group Arizona LLC CurrentSince May 3, 2021 Accepting new patients
Christopher Stalberg, MD, PLLC CurrentSince Dec 29, 2023 Accepting new patients
Baycare Clinic LLP CurrentSince Feb 1, 2016 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jun 1, 2024 Accepting new patients
Matrix Medical Plus Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients
Leading Healthcare, LLC Past Accepting new patients

Locations

2001 N 4th St
Flagstaff, AZ 86004
Phone (928) 526-5020

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

21300 N John Wayne Pkwy
Ste 123
Maricopa, AZ 85139
Phone (520) 494-7778

8035 E Brown Rd
Mesa, AZ 85207
Phone (480) 686-8540

3624 N Power Rd
Mesa, AZ 85215
Phone (480) 924-3797

7448 W Thunderbird Rd
Ste 105
Peoria, AZ 85381

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

13203 N 103rd Ave
Ste I5
Sun City, AZ 85351

14418 W Meeker Blvd
Ste 210
Sun City West, AZ 85375
Phone (623) 544-8400

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

1200 S Castle Dome Ave
Yuma, AZ 85365

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

2581 Development Dr
Green Bay, WI 54311
Phone (920) 347-0400

1035 Kepler Dr
Green Bay, WI 54311

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

2845 Greenbrier Rd
Green Bay, WI 54311
Phone (920) 288-3388

250 E Wisconsin Ave
Fl 18
Milwaukee, WI 53202
Phone (303) 748-5781

719 Doctors Ct
Oshkosh, WI 54901
Phone (920) 235-0066

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 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": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1225400500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-579-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14418 W MEEKER BLVD STE 210",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853755291",
            "telephone_number": "623-544-8400",
            "fax_number": "623-544-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER-JUNK",
        "first_name": "THERESA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5263-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.