Individual provider Active NPI

Troy Lance Passmore, FNP-C

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1528561016
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11481 Issued in AZ
Practice address
17674 N Litchfield Rd
Surprise, AZ 85374-2478
Phone
(623) 281-3001
Fax
(623) 281-3063
NPI assigned
Mar 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN102699 AZ
Family Nurse Practitioner 363LF0000X AP11481 AZ Primary

Addresses

Primary practice location

17674 N Litchfield Rd
Surprise, AZ 85374-2478

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Other practice location 1

26323 N 113th Ave
Peoria, AZ 85383-9736
Phone (602) 463-0346

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
I20190321000590 AZ Practitioner - Nurse Practitioner 7012257488 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP11481AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Medical Partners, LLC CurrentSince Jun 1, 2022 Accepting new patients
4C Medical Group PLC CurrentSince Jan 1, 2019 Accepting new patients
Glendale Medical Clinic LLC CurrentSince Jan 1, 2022 Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 22, 2020 Accepting new patients
Archwell Health Professional Services of Arizona, LLC CurrentSince Mar 31, 2025 Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 22, 2020 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Forward Care Family Practice, PLLC CurrentSince Jan 1, 2022 Accepting new patients
4C Medical Group PLC Current Accepting new patients
Livn, P.C. Past Accepting new patients
Phoenician Medical Center, Inc Past Accepting new patients
West Valley Urgent Care Past Accepting new patients

Locations

11435 W Buckeye Rd
Ste A106
Avondale, AZ 85323
Phone (703) 415-6994

19550 W Indian School Rd
Ste 102
Buckeye, AZ 85396

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

17218 N 72nd Dr
Ste 100
Glendale, AZ 85308
Phone (623) 334-8670

7800 N 55th Ave
Ste 106
Glendale, AZ 85301
Phone (602) 718-1962

831 S Cotton Ln
Ste F78
Goodyear, AZ 85338

5045 W Baseline Rd
Ste A110
Laveen, AZ 85339

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

4315 E Main St
Mesa, AZ 85205
Phone (480) 654-0260

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

2632 S 83rd Ave
Ste 113
Phoenix, AZ 85043

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

1743 E Camelback Rd
Ste A3
Phoenix, AZ 85016
Phone (602) 325-5114

4110 N 108th Ave
Ste 101
Phoenix, AZ 85037
Phone (623) 218-0780

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

9219 E Hidden Spur Trl
Ste 200
Scottsdale, AZ 85255
Phone (480) 660-6052

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

17674 N Litchfield Rd
Surprise, AZ 85374
Phone (623) 281-3001

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
  • FHIR API: https://api.platform.athenahealth.com/22605/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1528561016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17674 N LITCHFIELD RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742478",
            "telephone_number": "623-281-3001",
            "fax_number": "623-281-3063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26323 N 113th Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853839736",
            "country_code": "US",
            "telephone_number": "602-463-0346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSMORE",
        "first_name": "TROY",
        "middle_name": "LANCE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-12",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN102699",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.