Active NPI
April Monique Jackson, FNP
- Family Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 310080
- Practice address
- 18275 N 59TH Ave Ste 138
Glendale, AZ 85308-1253 - Phone
- (602) 564-1154
- Fax
- (602) 564-1154
- NPI assigned
- Aug 6, 2024
- 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 | 310080 | AZ | Primary |
Addresses
Primary practice location
18275 N 59TH Ave Ste 138
Glendale, AZ 85308-1253
Mailing address
3552 W Baseline Rd Ste 240
Laveen, AZ 85339-3042
Phone (602) 635-6941
Other practice location 1
3552 W Baseline Rd Ste 240
Laveen, AZ 85339-3042
Phone (602) 635-6941
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240903001710 | AZ | Practitioner - Nurse Practitioner | 5294274304 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13755 N Litchfield Rd
Suite 105
Surprise, AZ 85379-4288
Phone (337) 991-9276
7362 W Thunderbird Rd
Suite 101
Peoria, AZ 85381-5028
Phone (602) 843-5455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310080 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Kidney Institute, PLC | Current | Accepting new patients | |
| Southwest Kidney Institute, PLC | Current | Accepting new patients | |
| Prescott Healthcare Solutions LLC | Family | Current | Accepting new patients |
| Sundance Medical Associates PLLC | Past | Accepting new patients | |
| Moblie Health Care Solutions, LLC | Past | Accepting new patients |
Locations
18275 N 59th Ave
Ste 138
Glendale, AZ 85308
Phone (602) 564-0078
3552 W Baseline Rd
Ste 240
Laveen, AZ 85339
Phone (602) 635-6941
3552 W Baseline Rd
Ste S240
Laveen, AZ 85339
3552 W Baseline Rd
Ste 140
Laveen, AZ 85339
Phone (602) 635-6941
7362 W Thunderbird Rd
Ste 100
Peoria, AZ 85381
9171 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 877-0100
7362 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (480) 610-6152
8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100
9305 W Thomas Rd
Ste 255
Phoenix, AZ 85037
Phone (623) 247-9235
3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583
16928 W Bell Rd
Ste 701
Surprise, AZ 85374
Phone (623) 214-1106
2149 E Warner Rd
Ste 102
Tempe, AZ 85284
Phone (623) 247-0808
Interoperability endpoints
- april.jackson.1@2697.direct.athenahealth.com
Organizations & group practices 7
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.
-
- Nephrology Physician
- Sierra Vista, AZ
- NPI 1891933560
-
- Pharmacy
- Prescott Valley, AZ
- NPI 1396170106
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1942481718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1376373134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3552 W BASELINE RD STE 240",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853393042",
"telephone_number": "602-635-6941",
"fax_number": "602-635-6952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18275 N 59TH AVE STE 138",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081253",
"telephone_number": "602-564-1154",
"fax_number": "602-564-1154"
}
],
"practiceLocations": [
{
"address_1": "3552 W Baseline Rd Ste 240",
"address_purpose": "LOCATION",
"city": "Laveen",
"state": "AZ",
"postal_code": "853393042",
"country_code": "US",
"telephone_number": "602-635-6941",
"fax_number": "602-635-6952",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JACKSON",
"first_name": "APRIL",
"middle_name": "MONIQUE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-06",
"last_updated": "2024-09-24",
"certification_date": "2024-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "310080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.