Individual provider Active NPI

Shannon Maeser, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1427804608
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
297067 Issued in AZ
Practice address
7725 N 43Rd Ave Ste 510
Phoenix, AZ 85051-5771
Phone
(623) 207-5465
Fax
(623) 207-5405
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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 297067 AZ Primary

Addresses

Primary practice location

7725 N 43Rd Ave Ste 510
Phoenix, AZ 85051-5771

Mailing address

3251 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 772-2582

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
I20240605001562 AZ Practitioner - Nurse Practitioner 0244772200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Sleep Physicians IncGroup PAC ID 5698905677, 27 clinicians

Practice addresses (Care Compare)

9767 N 91St St
B104
Scottsdale, AZ 85258-5086
Phone (480) 284-4015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family Medicine CurrentSince May 23, 2024 Accepting new patients
Valley Sleep Physicians, Inc CurrentSince Jan 2, 2025 Accepting new patients
Sundance Medical Associates PLLC Family Medicine Past Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients
Valley Oximetry Incorporated PastSince Jan 2, 2025 Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients
Valley Oximetry Incorporated Past Accepting new patients

Locations

1120 S Dobson Rd
Ste B100
Chandler, AZ 85286
Phone (480) 219-9473

13481 W McDowell Rd
Ste 200A
Goodyear, AZ 85395

4555 E Inverness Ave
Ste 112
Mesa, AZ 85206
Phone (480) 361-0110

4555 E Inverness Ave
Bldg 3
Mesa, AZ 85206
Phone (480) 361-0110

9171 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 877-0100

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

7725 N 43rd Ave
Ste 510
Phoenix, AZ 85051
Phone (623) 207-5465

3777 Crossings Dr
Ste C
Prescott, AZ 86305
Phone (480) 361-0110

3251 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2582

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

9767 N 91st St
#B104
Scottsdale, AZ 85258
Phone (480) 284-4015

9767 N 91st St
Ste B104
Scottsdale, AZ 85258

1790 E River Rd
Ste 130
Tucson, AZ 85718
Phone (480) 361-0110

1790 E River Rd
Ste 140B
Tucson, AZ 85718
Phone (480) 361-0110

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1427804608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3251 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141222",
            "telephone_number": "928-772-2582",
            "fax_number": "877-319-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 N 43RD AVE STE 510",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515771",
            "telephone_number": "623-207-5465",
            "fax_number": "623-207-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESER",
        "first_name": "SHANNON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "297067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.