Individual provider Active NPI

Mark Charles Priola, FNP-C

  • Family Nurse Practitioner
  • Prescott Valley, AZ
National Provider Identifier
1407161235
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3629 Issued in AZ
Practice address
3075 N Windsong Dr Ste B
Prescott Valley, AZ 86314-1208
Phone
(928) 350-8780
Fax
(888) 674-1228
NPI assigned
Aug 17, 2010
Last updated
Feb 11, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 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 AP3629 AZ Primary

Addresses

Primary practice location

3075 N Windsong Dr Ste B
Prescott Valley, AZ 86314-1208

Mailing address

3075 N Windsong Dr Ste B
Prescott Valley, AZ 86314-1208
Phone (928) 350-8780

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
I20110610000277 AZ Practitioner - Nurse Practitioner 2264619683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yavapai Primary CareGroup PAC ID 6305275504, 9 clinicians

Practice addresses (Care Compare)

3075 N Windsong Dr
Suite B1
Prescott Valley, AZ 86314-1208
Phone (928) 535-0878

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yavapai Primary Care CurrentSince Jul 25, 2024 Accepting new patients

Locations

1951 Commerce Center Cir
Ste B
Prescott, AZ 86301
Phone (928) 515-4549

3075 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 350-8780

3075 N Windsong Dr
Ste B1
Prescott Vly, AZ 86314
Phone (928) 775-8750

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1407161235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 N WINDSONG DR STE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141208",
            "telephone_number": "928-350-8780",
            "fax_number": "888-674-1228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 N WINDSONG DR STE B",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141208",
            "telephone_number": "928-350-8780",
            "fax_number": "888-674-1228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIOLA",
        "first_name": "MARK",
        "middle_name": "CHARLES",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-17",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.