Individual provider Active NPI

Adam K Zamora, AGNP-C

  • Gerontology Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1548032006
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
299495 Issued in AZ
Practice address
560 W Brown Rd Ste 1011
Mesa, AZ 85201-3222
Phone
(480) 864-3671
Fax
(480) 520-7762
NPI assigned
Oct 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 299495 AZ Primary
Wound Care Registered Nurse 163WW0000X 299495 AZ
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 299495 AZ

Addresses

Primary practice location

560 W Brown Rd Ste 1011
Mesa, AZ 85201-3222

Mailing address

3273 E Wildhorse Dr
Gilbert, AZ 85297-9301
Phone (480) 235-7327

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
I20231120003214 AZ Practitioner - Nurse Practitioner 5597113191 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

Practice addresses (Care Compare)

560 E Brown Rd
Suite 1011
Meza, AZ 85201-3222
Phone (480) 235-7327

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
299495AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mtac Healthcare PLC Multi-Specialty CurrentSince May 20, 2025 Accepting new patients

Locations

560 W Brown Rd
Ste 4005
Mesa, AZ 85201

560 W Brown Rd
Ste 1011
Mesa, AZ 85201
Phone (480) 235-7327

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/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": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1548032006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3273 E WILDHORSE DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979301",
            "telephone_number": "480-235-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W BROWN RD STE 1011",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852013222",
            "telephone_number": "480-864-3671",
            "fax_number": "480-520-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "ADAM",
        "middle_name": "K",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "299495",
            "primary": true
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "AZ",
            "license": "299495",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "299495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.