Active NPI
Amy Simmons, FNP-C
- Family Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1366953143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10607
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP10607 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archwell Health Professional Services of Arizona, LLC | Current | 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.
-
- Internal Medicine Physician
- Gold Canyon, AZ
- NPI 1417112541
-
- Internal Medicine Physician
- Mesa, AZ
- NPI 1558026880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.