Individual provider Active NPI

Suzzan M Tarno, CRNP

  • Acute Care Nurse Practitioner
  • Tolleson, AZ
National Provider Identifier
1376571778
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
247230 Issued in AZ
Practice address
409 S 104TH Ave
Tolleson, AZ 85353-9236
Phone
(623) 907-1846
Fax
(623) 907-1847
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-084184 AL
Acute Care Nurse Practitioner 363LA2100X 247230 AZ Primary

Addresses

Primary practice location

409 S 104TH Ave
Tolleson, AZ 85353-9236

Mailing address

409 S 104TH Ave
Tolleson, AZ 85353-9236
Phone (623) 907-1846

Other names 1

  • Suzzan M Nelson Former name

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
I20210119002794 AZ Practitioner - Nurse Practitioner 3476582123 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-084184ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Basel Refai MD PC CurrentSince Nov 4, 2012 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Sep 2, 2025 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Sep 2, 2025 Accepting new patients
The Pressure Company, Inc. Past Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

3368 Highway 280
Ste 107
Alexander City, AL 35010
Phone (256) 212-9300

1825 Halcyon Blvd
Montgomery, AL 36117
Phone (256) 212-9300

21250 W Roosevelt St
Ste 306
Buckeye, AZ 85326
Phone (480) 420-0749

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

1325 N Litchfield Rd
Ste 130
Goodyear, AZ 85395
Phone (602) 249-8577

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/65979035-1557-4261-8de9-caa332ef8187/

Organizations & group practices 5

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1376571778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 S 104TH AVE",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853539236",
            "telephone_number": "623-907-1846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 S 104TH AVE",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853539236",
            "telephone_number": "623-907-1846",
            "fax_number": "623-907-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARNO",
        "first_name": "SUZZAN",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-084184",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "247230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZZAN",
            "last_name": "NELSON",
            "middle_name": "M",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tolleson, AZ

Sources for this page

Verify at the official NPI Registry.