Active NPI
Renee Marie Rundle, FNP
- Nurse Practitioner
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- TEMP236654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 66.21
- Improvement activities
- 40
- Cost
- 66.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11190566 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Doc Arizona PC | Current | Accepting new patients | |
| Dispatchhealth-Arizona | Current | Accepting new patients | |
| J M Geiss DO Apc | Current | Accepting new patients | |
| Integrity Advanced Medical | Current | Accepting new patients | |
| Dispatchhealth-Arizona | Current | Accepting new patients | |
| Senior Doc Az Medical PC | Current | 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
- 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.
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Sun City West, AZ
- NPI 1760262539
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1922532944
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1700477627
-
- Emergency Medicine Physician
- Columbia, MD
- NPI 1811765449
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Mesa, AZ
- NPI 1902179302
-
- Community Based Hospice Care Agency
- Mesa, AZ
- NPI 1356614754
-
- Home Health Agency
- Phoenix, AZ
- NPI 1568639557
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.