Individual provider Active NPI

Terry Sue Wilcox, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1285981399
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN047495 Issued in AZ
Practice address
1935 N Stapley Dr
Mesa, AZ 85203-2749
Phone
(480) 339-6178
NPI assigned
Aug 8, 2012
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4276 AZ
Family Nurse Practitioner 363LF0000X RN047495 AZ Primary

Addresses

Primary practice location

1935 N Stapley Dr
Mesa, AZ 85203-2749

Mailing address

PO Box 932958
Cleveland, OH 44193-0028
Phone (480) 339-6178

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
I20120926000436 AZ Practitioner - Nurse Practitioner 4587813167 Reassigns benefits to 2 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
The Little Clinic of Arizona LLCGroup PAC ID 4981797982, 43 clinicians

Practice addresses (Care Compare)

9900 S Rural Rd
Tempe, AZ 85284-4116
Phone (480) 783-6257

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
69.93
Promoting interoperability
100
Improvement activities
40
Cost
77.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP4276AZMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Arizona LLC Family CurrentSince Apr 9, 2024 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Aligned 2021 CurrentSince Oct 20, 2012 Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Mar 1, 2023 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Advanced Healthcare LLC CurrentSince Aug 28, 2012 Accepting new patients
Optimal Spine & Health Center Inc PastSince Jul 11, 2005 Accepting new patients
Afc Physical Medicine of Gilbert, PLLC Past Accepting new patients
Premier Physicians Group, PLLC PastSince Jul 1, 2021 Accepting new patients
Next Level Facility LLC PastSince Nov 12, 2023 Accepting new patients
Triad Chiropractic & Rehabilitation Clinics, LLC PastSince Jan 3, 2018 Accepting new patients
Equality Medical Group LLC Past Accepting new patients
Equality Health at Home Inc Past Accepting new patients

Locations

110 S Idaho Rd
Ste 140
Apache Junction, AZ 85119
Phone (480) 671-5655

2080 W Southern Ave
Bldg B10
Apache Junction, AZ 85120
Phone (480) 351-2850

1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471

205 N Stuart Blvd
Eloy, AZ 85131
Phone (520) 466-7883

174 W Highway 287
Florence, AZ 85132
Phone (520) 868-5811

1935 N Stapley Dr
Mesa, AZ 85203
Phone (480) 339-6178

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

9900 S Rural Rd
Tempe, AZ 85284
Phone (480) 783-6233

Interoperability endpoints

  • Direct secure messaging: terry.wilcox@krogerhealth.eclinicaldirectplus.com
  • FHIR API: https://api.platform.athenahealth.com/3522/brand/1/csg/21/fhir/r4

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1285981399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "telephone_number": "480-339-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 N STAPLEY DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852032749",
            "telephone_number": "480-339-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "TERRY",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-08",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4276",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN047495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.