Individual provider Active NPI

Brenda Jean Adamson, FNP-C

  • Family Nurse Practitioner
  • Safford, AZ
National Provider Identifier
1467409730
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2357 Issued in AZ
Practice address
1300 S 20TH Ave
Safford, AZ 85546-3301
Phone
(928) 428-3122
Fax
(928) 425-7917
NPI assigned
May 30, 2006
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 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 AP2357 AZ Primary

Addresses

Primary practice location

1300 S 20TH Ave
Safford, AZ 85546-3301

Mailing address

1300 S 20TH Ave
Safford, AZ 85546-3301
Phone (928) 428-3122

Other identifiers 1

IdentifierTypeStateIssuer
229421MedicaidAZ

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
I20060919000087 AZ Practitioner - Nurse Practitioner 3274538608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

1300 S 20TH Ave
Safford, AZ 85546-3301
Phone (928) 428-3122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family CurrentSince Oct 1, 2022 Accepting new patients
Arizona Family Healthcare Inc Family PastSince Jul 10, 2008 Accepting new patients
Mt Graham Regional Medical Center Inc Past Accepting new patients

Locations

560 N Camino Mercado
Ste 7
Casa Grande, AZ 85122
Phone (520) 836-5538

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

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

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

1300 S 20th Ave
Safford, AZ 85546
Phone (928) 428-3122

286 S Lenzner Ave
Sierra Vista, AZ 85635
Phone (520) 452-0388

5981 E Grant Rd
Ste 115
Tucson, AZ 85712
Phone (520) 886-5315

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1467409730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463301",
            "telephone_number": "928-428-3122",
            "fax_number": "928-425-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S 20TH AVE",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855463301",
            "telephone_number": "928-428-3122",
            "fax_number": "928-425-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMSON",
        "first_name": "BRENDA",
        "middle_name": "JEAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229421",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Safford, AZ

Sources for this page

Verify at the official NPI Registry.