Individual provider Active NPI

Jennifer Dawn Sutton, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1588194963
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06170696 Issued in AZ
Practice address
20333 N 19TH Ave Ste 100
Phoenix, AZ 85027-3602
Phone
(623) 516-8252
Fax
(623) 516-8253
NPI assigned
Jun 18, 2017
Last updated
Sep 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06170696 AZ Primary

Addresses

Primary practice location

20333 N 19TH Ave Ste 100
Phoenix, AZ 85027-3602

Mailing address

11047 N 19TH Ave
Phoenix, AZ 85029-4816
Phone (602) 589-0500

Other practice location 1

137 E Fort Lowell Rd
Tucson, AZ 85705-3920
Phone (602) 589-0500

Other practice location 2

13967 W Grand Ave
Surprise, AZ 85374-3732
Phone (602) 589-0500

Other practice location 3

203 S Candy Ln Ste 6B
Cottonwood, AZ 86326-8112
Phone (602) 589-0500

Other practice location 4

8046 E Yavapai Rd
Prescott Valley, AZ 86314-8442
Phone (602) 589-0500

Other practice location 5

13555 W McDowell Rd Ste 201
Goodyear, AZ 85395-2630
Phone (602) 589-0500

Other practice location 6

5281 N 99th Ave Ste 100
Glendale, AZ 85305-2209
Phone (623) 516-8252

Other practice location 7

11047 N 19th Ave
Phoenix, AZ 85029-4816
Phone (602) 589-0500

Other names 1

  • Ms. Jennifer Dawn Sutton Professional name

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
I20170815003285 AZ Practitioner - Nurse Practitioner 0648542340 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sun Pain Management PLLCGroup PAC ID 6800986340, 10 clinicians

Practice addresses (Care Compare)

11047 N 19TH Ave
Phoenix, AZ 85029-4816
Phone (602) 589-0500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06170696AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Minimally Invasive Surgical CurrentSince Dec 12, 2022 Accepting new patients
Integrity Pain and Anesthesia PLLC CurrentSince Oct 1, 2021 Accepting new patients
Sun Pain Management, PLLC CurrentSince Aug 20, 2025 Accepting new patients
Kpa Medical LLC CurrentSince Oct 1, 2021 Accepting new patients
Effideen Ameerally MD PC CurrentSince Apr 1, 2025 Accepting new patients
Advanced Minimally Invasive Surgical CurrentSince Dec 12, 2022 Accepting new patients
Apex Integrated Care PLLC Past Accepting new patients
Atlantis Medical Group Az PLLC Past Accepting new patients

Locations

203 S Candy Ln
Ste 6B
Cottonwood, AZ 86326
Phone (928) 649-1559

16222 N 59th Ave
Ste A100
Glendale, AZ 85306
Phone 62333440007036

6677 W Thunderbird Rd
Ste 2
Glendale, AZ 85306

6677 W Thunderbird Rd
Ste G101
Glendale, AZ 85306

13555 W McDowell Rd
Ste 201
Goodyear, AZ 85395
Phone (602) 246-9006

1134 E University Dr
Ste 111
Mesa, AZ 85203
Phone (480) 398-1220

7436 E Main St
Ste 1
Mesa, AZ 85207
Phone (405) 921-2503

7436 E Main St
Ste 2
Mesa, AZ 85207
Phone (480) 983-5111

11047 N 19th Ave
Phoenix, AZ 85029
Phone (602) 944-0072

11047 N 19th Ave
Ste 103
Phoenix, AZ 85029

202 E Earll Dr
Ste 360
Phoenix, AZ 85012
Phone (480) 323-6072

4222 E Camelback Rd
Ste H150
Phoenix, AZ 85018
Phone (602) 509-0500

5060 N 19th Ave
Ste 207
Phoenix, AZ 85015
Phone (480) 488-5621

5501 N 19th Ave
Ste 103
Phoenix, AZ 85015
Phone (605) 589-0500

1000 Willow Creek Rd
Ste D
Prescott, AZ 86301
Phone (928) 458-7343

8046 E Yavapai Rd
Prescott Vly, AZ 86314
Phone (602) 671-1700

10115 E Bell Rd
Ste 107
Scottsdale, AZ 85260

8997 E Desert Cove Ave
Fl 1
Scottsdale, AZ 85260
Phone (480) 664-3317

137 E Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 393-8060

Interoperability endpoints

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

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1588194963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11047 N 19TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850294816",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20333 N 19TH AVE STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273602",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 E Fort Lowell Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857053920",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13967 W Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853743732",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "203 S Candy Ln Ste 6B",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863268112",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8046 E Yavapai Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863148442",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13555 W McDowell Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853952630",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5281 N 99th Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853052209",
            "country_code": "US",
            "telephone_number": "623-516-8252",
            "fax_number": "623-516-8253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11047 N 19th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850294816",
            "country_code": "US",
            "telephone_number": "602-589-0500",
            "fax_number": "602-314-4552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUTTON",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-18",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F06170696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SUTTON",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.