Individual provider Active NPI

Jade Mattern, MSN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1326435439
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP7630 Issued in AZ
Practice address
21321 E Ocotillo Rd
Suite #M131
Queen Creek, AZ 85142-5996
Phone
(480) 636-1225
Fax
(480) 636-8890
NPI assigned
Apr 16, 2015
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP7630 AZ
Acute Care Nurse Practitioner 363LA2100X AP7630 AZ Primary
Gerontology Nurse Practitioner 363LG0600X AP7630 AZ

Addresses

Primary practice location

21321 E Ocotillo Rd
Suite #M131
Queen Creek, AZ 85142-5996

Mailing address

21321 E Ocotillo Rd
Suite #M131
Queen Creek, AZ 85142-5996
Phone (480) 636-1225

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
I20150716002648 AZ Practitioner - Nurse Practitioner 0648583849 Reassigns benefits to 3 organizations

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
Quantum Healthcare Medical Associates of Arizona PCGroup PAC ID 5597946350, 33 clinicians

Practice addresses (Care Compare)

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Mar 1, 2021 Accepting new patients
Emergency Group of Arizona Professional Corporation Nurse Practitioner CurrentSince Mar 1, 2021 Accepting new patients
Quantum Healthcare Medical Associates of Arizona, PC CurrentSince May 15, 2022 Accepting new patients
Livi Medical Services LLC PastSince Aug 26, 2024 Accepting new patients
Southwest Pain & Spine Center LLC Past Accepting new patients

Locations

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

2000 W Bethany Home Rd
Phoenix, AZ 85015
Phone (480) 209-4000

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

16815 W Bell Rd
Surprise, AZ 85374
Phone (623) 244-2400

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

Hospital & facility affiliations 3

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": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1326435439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD",
            "address_2": "SUITE #M131",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425996",
            "telephone_number": "480-636-1225",
            "fax_number": "480-636-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21321 E OCOTILLO RD",
            "address_2": "SUITE #M131",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425996",
            "telephone_number": "480-636-1225",
            "fax_number": "480-636-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "JADE",
        "credential": "MSN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP7630",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP7630",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP7630",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.