Active NPI
Jose Antonio C Sim
- Family Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1528825585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 302492
- Practice address
- 2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245 - Phone
- (602) 342-8481
- Fax
- (602) 342-8328
- NPI assigned
- Mar 5, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 302492 | AZ | Primary |
Addresses
Primary practice location
2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245
Mailing address
2415 E Camelback Rd Ste 700
Phoenix, AZ 85016-4245
Phone (602) 342-8481
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, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2415 E Camelback Rd
Suite 700
Phoenix, AZ 85016-4245
3250 Lacey Rd
Suite 160
Downers Grove, IL 60515-7901
8413 W Crown King Rd
Tolleson, AZ 85353-3617
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302492 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Woundcure PLLC | Multi-Specialty | Current | Accepting new patients |
Locations
2415 E Camelback Rd
Ste 700
Phoenix, AZ 85016
Phone (480) 878-7843
Interoperability endpoints
- https://drchrono-fhirpresentation.everhealthsoftware.com/fhir/drchrono/501738/r4
Organizations & group practices 1
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": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1528825585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2415 E CAMELBACK RD STE 700",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164245",
"telephone_number": "602-342-8481",
"fax_number": "602-342-8328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 E CAMELBACK RD STE 700",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164245",
"telephone_number": "602-342-8481",
"fax_number": "602-342-8328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIM",
"first_name": "JOSE ANTONIO",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-03-05",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "302492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.