Individual provider Active NPI

Amy Simmons, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1366953143
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10607 Issued in AZ
Practice address
1060 E Southern Ave Ste 106
Mesa, AZ 85204-5058
Phone
(480) 870-7400
Fax
(480) 906-2174
NPI assigned
Oct 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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 AP10607 AZ Primary

Addresses

Primary practice location

1060 E Southern Ave Ste 106
Mesa, AZ 85204-5058

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250
Phone (888) 987-1151

Other practice location 1

6724 S Kings Ranch Rd Ste 102
Gold Canyon, AZ 85118-2963
Phone (480) 626-4999

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
I20200520003778 AZ Practitioner - Nurse Practitioner 4183055445 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10607AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Arizona, LLC CurrentSince Jun 14, 2026 Accepting new patients

Locations

1060 E Southern Ave
Ste 106
Mesa, AZ 85204
Phone (480) 870-7400

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1366953143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250",
            "telephone_number": "888-987-1151",
            "fax_number": "480-304-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 E SOUTHERN AVE STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045058",
            "telephone_number": "480-870-7400",
            "fax_number": "480-906-2174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6724 S Kings Ranch Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Gold Canyon",
            "state": "AZ",
            "postal_code": "851182963",
            "country_code": "US",
            "telephone_number": "480-626-4999",
            "fax_number": "480-304-3239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "AMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-19",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.