Individual provider Active NPI

Nancy Dooling, NP

  • Family Nurse Practitioner
  • Bullhead City, AZ
National Provider Identifier
1427148246
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3717 Issued in AZ
Practice address
813 Hancock Rd
Bullhead City, AZ 86442-5032
Phone
(928) 704-9700
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 13967 CA
Family Nurse Practitioner 363LF0000X 13967 CA
Family Nurse Practitioner 363LF0000X AP3717 AZ Primary

Addresses

Primary practice location

813 Hancock Rd
Bullhead City, AZ 86442-5032

Mailing address

813 Hancock Rd
Bullhead City, AZ 86442-5032
Phone (928) 704-9700

Other identifiers 1

IdentifierTypeStateIssuer
RN3496710OtherCAMEDI-CAL

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
I20100927000784 AZ Practitioner - Nurse Practitioner 3577628643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kingman Healthcare, Inc Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Mar 7, 2012 Accepting new patients
Kingman Healthcare, Inc Family CurrentSince Mar 7, 2012 Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1739 E Beverly Ave
Ste 200
Kingman, AZ 86409
Phone (928) 263-4722

1726 E Beverly Ave
Ste A
Kingman, AZ 86409
Phone (928) 753-3303

3801 Santa Rosa Dr
Ste 110
Kingman, AZ 86401

Interoperability endpoints

  • Direct secure messaging: dooling.nancy@direct.azkrmc.md

Organizations & group practices 3

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1427148246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 HANCOCK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425032",
            "telephone_number": "928-704-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 HANCOCK RD",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425032",
            "telephone_number": "928-704-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLING",
        "first_name": "NANCY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "13967",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "13967",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "RN3496710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.