Individual provider Active NPI

Thomas Samuel Smith, FNP-BC, CRNFA

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1275725426
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4059 Issued in AZ
Practice address
1138 N Alma School Rd Ste 120
Mesa, AZ 85201-3003
Phone
(480) 924-8382
NPI assigned
Aug 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN086656 AZ
Family Nurse Practitioner 363LF0000X AP4059 AZ Primary

Addresses

Primary practice location

1138 N Alma School Rd Ste 120
Mesa, AZ 85201-3003

Mailing address

PO Box 85220
Tucson, AZ 85754-5220
Phone (520) 777-4470

Other practice location 1

3110 N Lloyd Bush Dr
Tucson, AZ 85745-9071
Phone (520) 777-4470

Other practice location 2

40 N Swan Rd Ste 55
Tucson, AZ 85711-3001
Phone (520) 442-2269

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidAZ

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
I20110510000249 AZ Practitioner - Nurse Practitioner 0446436414 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Associates of TucsonGroup PAC ID 5092709527, 60 clinicians

Practice addresses (Care Compare)

2450 E River Rd
Tucson, AZ 85718-6526
Phone (520) 795-7750

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Feb 20, 2018 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Nov 25, 2013 Accepting new patients
Dispatchhealth-Arizona CurrentSince Jul 1, 2021 Accepting new patients
Dispatchhealth-Arizona CurrentSince Jul 1, 2021 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Neurological Associates of Tucson CurrentSince Feb 1, 2024 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Nov 25, 2013 Accepting new patients
Arizona Medical Services, PC PastSince Apr 28, 2005 Accepting new patients
Greater Phoenix Collaborative Care PC Past Accepting new patients

Locations (25 of 49)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

1155 W Ocotillo Rd
Ste 4
Chandler, AZ 85248
Phone (480) 374-7400

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

474 N US Highway 89
Chino Valley, AZ 86323
Phone (520) 636-4355

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

399 S Malpais Ln
Ste 100
Flagstaff, AZ 86001
Phone (928) 286-8830

6343 S Higley Rd
Gilbert, AZ 85298
Phone (480) 748-2712

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

5410 W Thunderbird Rd
Ste 101
Glendale, AZ 85306
Phone (602) 530-6189

17688 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 889-6823

1295 W Duval Mine Rd
Ste 131
Green Valley, AZ 85614
Phone (520) 399-2027

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

4401 E McKellips Rd
Ste 102
Mesa, AZ 85215
Phone (480) 550-8204

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 353-2210

8101 N 19th Ave
Ste A
Phoenix, AZ 85021
Phone (602) 845-4505

4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1186963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1275725426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85220",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857545220",
            "telephone_number": "520-777-4470",
            "fax_number": "520-777-4470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 N ALMA SCHOOL RD STE 120",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013003",
            "telephone_number": "480-924-8382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3110 N Lloyd Bush Dr",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857459071",
            "country_code": "US",
            "telephone_number": "520-777-4470",
            "fax_number": "520-777-4470",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 N Swan Rd Ste 55",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857113001",
            "country_code": "US",
            "telephone_number": "520-442-2269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "THOMAS",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "FNP-BC, CRNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-13",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "AZ",
            "license": "RN086656",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.