Individual provider Active NPI

Suzanne Marie Woodhall, RN, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1508264201
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP7680 Issued in AZ
Practice address
6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone
(480) 835-7111
NPI assigned
Dec 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP7680 AZ
Gerontology Clinical Nurse Specialist 364SG0600X AP7680 AZ
Student in an Organized Health Care Education/Training Program 390200000X RN 053277 AZ
Acute Care Nurse Practitioner 363LA2100X AP7680 AZ Primary

Addresses

Primary practice location

6750 E Baywood Ave
Mesa, AZ 85206-1749

Mailing address

6750 E Baywood Ave
Mesa, AZ 85206-1749
Phone (480) 835-7111

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
I20150528000437 AZ Practitioner - Nurse Practitioner 6608196969 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Healthcare Medical Associates of Arizona PCGroup PAC ID 5597946350, 33 clinicians
Pulmonary Consultants P.C.Group PAC ID 4183600539, 32 clinicians

Practice addresses (Care Compare)

6644 E Baywood Ave
Mesa, AZ 85206-1747
Phone (480) 321-2000

6750 E Baywood Ave
Suite 401
Mesa, AZ 85206-1749
Phone 4808357111112

Hospital & facility affiliations

  • Honorhealth Four Peaks Medical Center Hospital, Mesa, AZ, CCN 030121
  • Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
63.74
Promoting interoperability
100
Improvement activities
40
Cost
89.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN 053277AZMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Acute Medical Services 1 PC CurrentSince Dec 17, 2023 Accepting new patients
Pulmonary Consultants P.C. Nurse Practitioner CurrentSince Apr 1, 2015 Accepting new patients
Pulmonary Consultants P C Current Accepting new patients
Quantum Healthcare Medical Associates of Arizona, PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

6750 E Baywood Ave
Ste 401
Mesa, AZ 85206
Phone (480) 835-7111

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBCHBD

Organizations & group practices 4

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 4

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1508264201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 E BAYWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061749",
            "telephone_number": "480-835-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 E BAYWOOD AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852061749",
            "telephone_number": "480-835-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODHALL",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "RN, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP7680",
            "primary": false
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "AZ",
            "license": "AP7680",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "RN 053277",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP7680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.