Active NPI
Thomas Samuel Smith, FNP-BC, CRNFA
- Family Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4059
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | 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
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
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 100
- Quality
- 45.09
- Improvement activities
- 40
- Cost
- 66.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nextcare Arizona LLC | Current | Accepting new patients | |
| Northwest Allied Physicians, LLC | Current | Accepting new patients | |
| Dispatchhealth-Arizona | Current | Accepting new patients | |
| Dispatchhealth-Arizona | Current | Accepting new patients | |
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Neurological Associates of Tucson | Current | Accepting new patients | |
| Northwest Allied Physicians LLC | Current | Accepting new patients | |
| Arizona Medical Services, PC | Past | 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.
-
dba Center for Neurosciences
- Neurological Surgery Physician
- Tucson, AZ
- NPI 1669588158
-
- General Practice Physician
- Tucson, AZ
- NPI 1003833179
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Durable Medical Equipment & Medical Supplies
- Oro Valley, AZ
- NPI 1821302910
-
- Emergency Medicine Physician
- Columbia, MD
- NPI 1811765449
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1679583306
-
- Clinic/Center
- Phoenix, AZ
- NPI 1750686614
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Benson, AZ
- NPI 1336118322
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.