Individual provider Active NPI

Patricia Gwen Folden, FNP

  • Family Nurse Practitioner
  • Lake Havasu City, AZ
National Provider Identifier
1356870695
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10341 Issued in AZ
Practice address
2010 Injo Dr
Lake Havasu City, AZ 86403-5707
Phone
(928) 412-8420
NPI assigned
Jun 9, 2017
Last updated
Mar 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10341 AZ Primary

Addresses

Primary practice location

2010 Injo Dr
Lake Havasu City, AZ 86403-5707

Mailing address

2010 Injo Dr
Lake Havasu City, AZ 86403-5707
Phone (928) 412-8420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TN2 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
I20170802001586 AZ Practitioner - Nurse Practitioner 5698046134 Reassigns benefits to 1 organization
I20260209003666 TN Practitioner - Nurse Practitioner 5698046134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

257 Bancorp S Pkwy
Jackson, TN 38305

257 Bancorp S Pkwy
Jackson, TN 38305-7582

Merit-based Incentive Payment System (MIPS)

Final score
79.85 of 100Reported as group
Quality
60.31
Promoting interoperability
93
Improvement activities
40
Cost
78.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40368TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Tennessee Medical Group Inc CurrentSince Jan 19, 2026 Accepting new patients
Lakeside Heart and Vascular Center PLLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

2020 Silver Creek Rd
Ste A103
Bullhead City, AZ 86442
Phone (520) 758-0135

1810 Mesquite Ave
Ste A
Lk Havasu Cty, AZ 86403
Phone (520) 855-5146

2010 Injo Dr
Lk Havasu Cty, AZ 86403
Phone (623) 227-1000

2082 Mesquite Ave
Ste 100A
Lk Havasu Cty, AZ 86403
Phone (928) 453-2828

297 Lake Havasu Ave S
Ste 108
Lk Havasu Cty, AZ 86403
Phone (928) 854-3333

297 Lake Havasu Ave S
Ste 200
Lk Havasu Cty, AZ 86403
Phone (928) 208-5948

1016 S Joshua Ave
Parker, AZ 85344
Phone (927) 669-6425

620 Skyline Dr
Jackson, TN 38301
Phone (731) 425-5000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3291/brand/1/csg/1/fhir/r4
  • Direct secure messaging: patricia.folden.1@3291.direct.athenahealth.com

Organizations & group practices 2

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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1356870695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 INJO DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035707",
            "telephone_number": "928-412-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 INJO DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035707",
            "telephone_number": "928-412-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLDEN",
        "first_name": "PATRICIA",
        "middle_name": "GWEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.