Individual provider Active NPI

Jennifer Hill, NP

  • Adult Health Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1326313222
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
TAP4383 Issued in AZ
Practice address
15571 N Reems Rd
Surprise, AZ 85374-9584
Phone
(623) 544-6932
NPI assigned
Mar 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X TAP4383 AZ Primary

Addresses

Primary practice location

15571 N Reems Rd
Surprise, AZ 85374-9584

Mailing address

7171 W Desert Mirage Dr
Peoria, AZ 85383-6678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM2 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
I20120514000180 AZ Practitioner - Nurse Practitioner 6800059759 Reassigns benefits to 2 organizations
I20230321001566 NM Practitioner - Nurse Practitioner 6800059759 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP4383AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Vein and Endovascular LLC CurrentSince Nov 1, 2022 Accepting new patients
New Mexico Vascular Consulting LLC CurrentSince Mar 1, 2023 Accepting new patients
Sonoran Vein and Endovascular LLC CurrentSince Nov 1, 2022 Accepting new patients
Vascular Consulting LLC CurrentSince Nov 1, 2022 Accepting new patients
Lpwallmd PC PastSince Dec 15, 2024 Accepting new patients

Locations

421 E Cottonwood Ln
Casa Grande, AZ 85122

2487 S Gilbert Rd
Ste 106431
Gilbert, AZ 85295

120 W Calle de las Tiendas
Green Valley, AZ 85614
Phone (520) 570-7884

2204 S Dobson Rd
Ste 201
Mesa, AZ 85202
Phone (602) 374-4410

9192 W Union Hills Dr
Ste 100
Peoria, AZ 85382

9192 W Union Hills Dr
Peoria, AZ 85382

333 W Thomas Rd
Ste 208B
Phoenix, AZ 85013

333 W Thomas Rd
Phoenix, AZ 85013
Phone (602) 253-4120

3411 N 5th Ave
Ste 301
Phoenix, AZ 85013
Phone (602) 200-8990

3103 Clearwater Dr
Ste B
Prescott, AZ 86305
Phone (623) 748-5029

222 S Summit Ave
Ste 3
Prescott, AZ 86303
Phone (928) 250-7700

2055 W Hospital Dr
Ste 145
Tucson, AZ 85704
Phone (520) 469-8147

520 NM Highway 564
Gallup, NM 87301
Phone (505) 542-0090

1808 E Aztec Ave
Ste 3
Gallup, NM 87301
Phone (505) 522-3323

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1326313222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7171 W DESERT MIRAGE DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15571 N REEMS RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749584",
            "telephone_number": "623-544-6932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JENNIFER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "TAP4383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.