NPIMap

Individual provider Active NPI

Summer Lynn Wilcox, CNP

  • Family Nurse Practitioner
  • Fort Mohave, AZ
National Provider Identifier
1427307941
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CP000742 Issued in SD
Practice address
5653 Hwy 95 Ste a
Fort Mohave, AZ 86426-6069
Phone
(928) 768-2558
NPI assigned
Aug 29, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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 CP000742 SD Primary

Addresses

Primary practice location

5653 Hwy 95 Ste a
Fort Mohave, AZ 86426-6069

Mailing address

5653 S Highway 95 Ste a
Fort Mohave, AZ 86426-6069
Phone (928) 768-2558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140528001147 AZ Practitioner - Nurse Practitioner 1850535279 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vista Health Mirza MD PCGroup PAC ID 6800054792, 7 clinicians
Prima Medical Care LLCGroup PAC ID 4789037078, 3 clinicians

Practice addresses (Care Compare)

5653 Hwy 95
Suite a
Fort Mohave, AZ 86426-6069
Phone (928) 768-2558

99 Riviera Dr
Lake Havasu City, AZ 86403-5713
Phone (503) 851-0575

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
34.5 of 100Reported as individual
Quality
20
Improvement activities
0
Cost
82.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prima Medical Care LLC Family CurrentSince Feb 1, 2026 Accepting new patients
Vista Health Mirza MD PC CurrentSince Dec 28, 2021 Accepting new patients
Aban Care Clinic LLC CurrentSince Mar 31, 2014 Accepting new patients
Hosea E Brown MD Inc Past Accepting new patients
Zegarra Hospital and Nursing Home Services PLLC PastSince May 24, 2020 Accepting new patients

Locations

1526 Turquoise Rd
Bullhead City, AZ 86442
Phone (928) 763-8515

1510 Turquoise Rd
Bullhead City, AZ 86442
Phone (928) 763-8515

2182 Highway 95
Bullhead City, AZ 86442
Phone (928) 758-6420

5653 S Highway 95
Ste A
Fort Mohave, AZ 86426
Phone (928) 237-4418

5653 S Highway 95
Fort Mohave, AZ 86426
Phone (928) 763-0020

99 Riviera Dr
Lk Havasu Cty, AZ 86403
Phone (503) 851-0575

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1427307941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5653 S HIGHWAY 95 STE A",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266069",
            "telephone_number": "928-768-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5653 HWY 95 STE A",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864266069",
            "telephone_number": "928-768-2558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "SUMMER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "CP000742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

Verify at the official NPI Registry.