Individual provider Active NPI

Priscilla Marie Wilson

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1366951519
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10609 Issued in AZ
Practice address
10005 E Osborn Rd
Scottsdale, AZ 85256-4019
Phone
(480) 362-7400
Fax
(480) 362-5950
NPI assigned
Sep 20, 2017
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP10609 AZ Primary

Addresses

Primary practice location

10005 E Osborn Rd
Scottsdale, AZ 85256-4019

Mailing address

3030 N Central Ave Ste 1001
Phoenix, AZ 85012-2716
Phone (602) 406-4786

Other practice location 1

1543 N Sierra Heights Cir
Mesa, AZ 85207-4258
Phone (626) 826-4236

Other practice location 2

1212 S Greenfield Rd
Mesa, AZ 85206-2792
Phone (480) 654-8920 ext. 8221

Other practice location 3

1727 W Frye Rd Ste 210
Chandler, AZ 85224
Phone (480) 728-7594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20171220003382 AZ Practitioner - Nurse Practitioner 1254699242 Reassigns benefits to 4 organizations
I20200507000379 TX Practitioner - Nurse Practitioner 1254699242 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
Group practices
Corner Health Medical Group P aGroup PAC ID 5799223236, 36 clinicians

Practice addresses (Care Compare)

10901 E McDowell Rd
Scottsdale, AZ 85256-5300
Phone (602) 466-5951

2 N Central Ave
Suite 1800
Phoenix, AZ 85004-2139
Phone (425) 243-3719

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Nov 13, 2023 Accepting new patients
Good Health Medical, PLLC Single Specialty Current Accepting new patients
Corner Health Medical Group P a Single Specialty CurrentSince Jul 11, 2025 Accepting new patients
Sjhmc Physician Services Single Specialty CurrentSince Jan 1, 2020 Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Mar 1, 2020 Accepting new patients
Salt River Pima-Maricopa Indian Community CurrentSince Mar 1, 2020 Accepting new patients
Chandler Regional Medical Center Single Specialty CurrentSince Jan 1, 2020 Accepting new patients
Good Health Medical, PLLC Single Specialty CurrentSince Nov 13, 2023 Accepting new patients
Salt River Pima-Maricopa Indian Community Single Specialty Current Accepting new patients
Northwest Rheumatology PLLC Single Specialty Past Accepting new patients
Batin Holdings LLC Family Past Accepting new patients

Locations

1727 W Frye Rd
Ste 210
Chandler, AZ 85224
Phone (480) 728-7564

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

13 N San Francisco St
Ste 6
Flagstaff, AZ 86001
Phone (928) 405-0173

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

3030 N Central Ave
Ste 1001
Phoenix, AZ 85012

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

500 W Thomas Rd
Ste 600
Phoenix, AZ 85013
Phone (602) 406-1140

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

10005 E Osborn Rd
Scottsdale, AZ 85256
Phone (480) 362-7400

10901 E McDowell Rd
Scottsdale, AZ 85256
Phone (480) 278-7742

File 56765
Los Angeles, CA 90074

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

Interoperability endpoints

  • Direct secure messaging: pwilson701941@direct.ochin.org

Organizations & group practices 11

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1366951519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N CENTRAL AVE STE 1001",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122716",
            "telephone_number": "602-406-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 E OSBORN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852564019",
            "telephone_number": "480-362-7400",
            "fax_number": "480-362-5950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1543 N Sierra Heights Cir",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852074258",
            "country_code": "US",
            "telephone_number": "626-826-4236",
            "fax_number": "626-826-4236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 S Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852062792",
            "country_code": "US",
            "telephone_number": "480-654-8920 x8221",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1727 W Frye Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "85224",
            "country_code": "US",
            "telephone_number": "480-728-7594",
            "fax_number": "480-728-2253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "PRISCILLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.