Individual provider Active NPI

Nicole Maria Jones

  • Acute Care Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1326432501
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP7711 Issued in AZ
Practice address
130 S 63Rd St
Ste 106
Mesa, AZ 85206-1620
Phone
(480) 773-2220
Fax
(480) 452-0533
NPI assigned
Mar 25, 2015
Last updated
Feb 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP7711 AZ Primary

Addresses

Primary practice location

130 S 63Rd St
Ste 106
Mesa, AZ 85206-1620

Mailing address

130 S 63Rd St
Ste 106
Mesa, AZ 85206-1620
Phone (480) 773-2220

Other names 1

  • Nicole Maria Gonzalez Former name

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
I20160302000127 AZ Practitioner - Nurse Practitioner 0042515918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6750 E Baywood Ave
Suite 301
Mesa, AZ 85206-1749
Phone (480) 835-6100

Merit-based Incentive Payment System (MIPS)

Final score
85.24 of 100Reported as group
Quality
74.76
Promoting interoperability
100
Improvement activities
40
Cost
76.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Cardiology Consultants, PC CurrentSince Aug 12, 2019 Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince Aug 12, 2019 Accepting new patients
Cardiojost, PLLC Past Accepting new patients

Locations

143 S 63rd St
Ste 100
Mesa, AZ 85206
Phone (480) 416-6140

1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100

6402 E Superstition Springs Blvd
Ste 224
Mesa, AZ 85206
Phone (480) 470-3442

6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nicole.jones.p1@direct.tcc.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1326432501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S 63RD ST",
            "address_2": "STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061620",
            "telephone_number": "480-773-2220",
            "fax_number": "480-452-0533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 63RD ST",
            "address_2": "STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061620",
            "telephone_number": "480-773-2220",
            "fax_number": "480-452-0533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NICOLE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP7711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "GONZALEZ",
            "middle_name": "MARIA",
            "credential": "AGACNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.