Individual provider Active NPI

Jessica Symmes, FNP

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1467152918
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
236531 Issued in AZ
Practice address
5030 S Mill Ave
Tempe, AZ 85282-6833
Phone
(480) 894-2823
NPI assigned
Mar 3, 2023
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 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 236531 AZ Primary

Addresses

Primary practice location

5030 S Mill Ave
Tempe, AZ 85282-6833

Mailing address

15026 S 30TH St
Phoenix, AZ 85048-8718
Phone (480) 455-2120

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
I20230815000566 AZ Practitioner - Nurse Practitioner 3274995899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Group LLCGroup PAC ID 9335132604, 14 clinicians

Practice addresses (Care Compare)

5030 S Mill Ave
Suite D12
Tempe, AZ 85282-6849
Phone (480) 894-2823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236531AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group, LLC CurrentSince Jun 17, 2023 Accepting new patients
Ana M Sierra de Aragon MD Past Accepting new patients

Locations

5005 S Ash Ave
Ste A-2
Tempe, AZ 85282
Phone (602) 833-6585

5030 S Mill Ave
Ste D12
Tempe, AZ 85282
Phone (480) 894-2823

Organizations & group practices 2

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": "1677801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1467152918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15026 S 30TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850488718",
            "telephone_number": "480-455-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 S MILL AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826833",
            "telephone_number": "480-894-2823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYMMES",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "236531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.