Individual provider Active NPI

Michael Andrew Hart, FNP-C

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1548235773
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11665 Issued in AZ
Practice address
9750 W Peoria Ave
Peoria, AZ 85345-6108
Phone
(623) 281-1620
Fax
(623) 281-1622
NPI assigned
Feb 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X RN109444 AZ
Emergency Registered Nurse 163WE0003X RN109444 AZ
Primary Care Clinic/Center 261QP2300X AP11665 AZ
Family Nurse Practitioner 363LF0000X AP11665 AZ Primary

Addresses

Primary practice location

9750 W Peoria Ave
Peoria, AZ 85345-6108

Mailing address

5392 W Taro LN
Glendale, AZ 85308-4964
Phone (623) 262-1010

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
I20190307002397 AZ Practitioner - Nurse Practitioner 6002155108 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN109444AZMDCritical Care Medicine Registered Nurse
AP11665AZMDPrimary Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Urgent Care PLLC CurrentSince Jan 15, 2019 Accepting new patients
Summit Medical Group Arizona LLC CurrentSince Aug 1, 2021 Accepting new patients
Archwell Health Professional Services of Arizona, LLC CurrentSince Jun 10, 2025 Accepting new patients
Arizona Heart Specialists PLLC PastSince Jan 15, 2019 Accepting new patients

Locations

980 S Watson Rd
Ste 103
Buckeye, AZ 85326
Phone (623) 474-6125

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

15530 W Roosevelt St
Ste D101
Goodyear, AZ 85338
Phone (623) 742-2300

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

9750 W Peoria Ave
Peoria, AZ 85345
Phone (623) 281-1620

9750 W Peoria Ave
Ste 120
Peoria, AZ 85345
Phone (623) 281-1620

8422 W Thunderbird Rd
Ste 103
Peoria, AZ 85381
Phone (623) 334-2818

702 W Camelback Rd
Ste 20
Phoenix, AZ 85013
Phone (602) 541-1611

21582 S Ellsworth Loop Rd
Ste 100
Queen Creek, AZ 85142
Phone (480) 339-5599

9897 W McDowell Rd
Ste 100
Tolleson, AZ 85353
Phone (623) 474-2300

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: michael.hart.p1@direct.nvfm.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1548235773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5392 W TARO LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853084964",
            "telephone_number": "623-262-1010",
            "fax_number": "623-242-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 W PEORIA AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456108",
            "telephone_number": "623-281-1620",
            "fax_number": "623-281-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AZ",
            "license": "RN109444",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN109444",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "AZ",
            "license": "AP11665",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.