Active NPI
Danielle Carrillo, FNP
- Family Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP9011
- Practice address
- 6020 E Arbor Ave
Suite 101
Mesa, AZ 85206 - Phone
- (480) 985-1700
- Fax
- (480) 396-3659
- NPI assigned
- Oct 8, 2016
- 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 | AP9011 | AZ | Primary |
Addresses
Primary practice location
6020 E Arbor Ave
Suite 101
Mesa, AZ 85206
Mailing address
3020 E Camelback Rd
Suite 301
Phoenix, AZ 85016-7441
Phone (602) 264-9100
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13640 N 99TH Ave
Suite 600
Sun City, AZ 85351-2867
Phone (623) 972-2116
Hospital & facility affiliations
- Banner del E. Webb Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.75 of 100
- Quality
- 60.45
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 81.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP9011 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Digestive Health, PC | Current | Accepting new patients | |
| Az Care Anesthesia , PLC | Current | Accepting new patients |
Locations
5823 W Eugie Ave
Ste A
Glendale, AZ 85304
Phone (602) 439-1717
6020 E Arbor Ave
Ste 101
Mesa, AZ 85206
Phone (480) 985-1700
9836 W Yearling Rd
Unit 1300
Peoria, AZ 85383
Phone (623) 972-2116
3020 E Camelback Rd
Ste 301
Phoenix, AZ 85016
13640 N 99th Ave
Ste 600
Sun City, AZ 85351
Phone (623) 523-0580
14869 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 972-2116
519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408
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.
-
- Gastroenterology Physician
- Scottsdale, AZ
- NPI 1992981583
-
- Anesthesiology Physician
- Sun City, AZ
- NPI 1043642796
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487548800000",
"number": "1366992802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 E CAMELBACK RD",
"address_2": "SUITE 301",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850167441",
"telephone_number": "602-264-9100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6020 E ARBOR AVE",
"address_2": "SUITE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "85206",
"telephone_number": "480-985-1700",
"fax_number": "480-396-3659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARRILLO",
"first_name": "DANIELLE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-08",
"last_updated": "2017-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP9011",
"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 Feb 20, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.