Individual provider Active NPI

Renee Marie Rundle, FNP

  • Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1457990913
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
TEMP236654 Issued in AZ
Practice address
1750 E. University
Tempe, AZ 85281
Phone
(623) 687-6680
NPI assigned
Jan 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F11190566 AZ
Nurse Practitioner 363L00000X TEMP236654 AZ Primary

Addresses

Primary practice location

1750 E. University
Tempe, AZ 85281

Mailing address

15161 W Redfield Rd
Surprise, AZ 85379-8023
Phone (623) 687-6680

Other practice location 1

1705 W University Dr Ste 104
Tempe, AZ 85281-3269
Phone (480) 493-3444

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
I20200214000235 AZ Practitioner - Nurse Practitioner 6204262033 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrity Advanced MedicalGroup PAC ID 2365882958, 3 clinicians

Practice addresses (Care Compare)

13603 W Camino del Sol
Suite E
Sun City West, AZ 85375-4483
Phone (623) 584-1726

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.24 of 100Reported as group
Quality
66.21
Improvement activities
40
Cost
66.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F11190566AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Doc Arizona PC CurrentSince Nov 10, 2025 Accepting new patients
Dispatchhealth-Arizona CurrentSince Jan 20, 2020 Accepting new patients
J M Geiss DO Apc CurrentSince Nov 10, 2025 Accepting new patients
Integrity Advanced Medical CurrentSince Jan 27, 2026 Accepting new patients
Dispatchhealth-Arizona CurrentSince Jan 20, 2020 Accepting new patients
Senior Doc Az Medical PC CurrentSince Nov 10, 2025 Accepting new patients

Locations

8751 N 51st Ave
Ste 118
Glendale, AZ 85302
Phone (480) 493-3444

14631 N Cave Creek Rd
Ste 103
Phoenix, AZ 85022

14631 N Cave Creek Rd
Ste 104
Phoenix, AZ 85022
Phone (602) 715-2568

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

13603 W Camino del Sol
Ste E
Sun City West, AZ 85375
Phone (219) 256-9750

1705 W University Dr
Ste 104
Tempe, AZ 85281
Phone (480) 493-3444

40 N Swan Rd
Ste 55
Tucson, AZ 85711
Phone (520) 442-2269

2592 N Santiago Blvd
Orange, CA 92867
Phone (714) 577-2271

3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350

Interoperability endpoints

  • Direct secure messaging: renee.rundle@57560418353156.direct.elationemr.com

Organizations & group practices 6

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 3

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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1457990913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15161 W REDFIELD RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853798023",
            "telephone_number": "623-687-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E. UNIVERSITY",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "623-687-6680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 W University Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852813269",
            "country_code": "US",
            "telephone_number": "480-493-3444",
            "fax_number": "480-867-4464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNDLE",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F11190566",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "TEMP236654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.