Individual provider Active NPI

Robert Francis Collins Jr., ACNPC-AG

  • Acute Care Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1588552152
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APRN-RNP325684AGAC Issued in AZ
Practice address
14961 W Bell Rd Ste 175
Surprise, AZ 85374-3220
Phone
(623) 242-9830
Fax
(623) 243-6733
NPI assigned
Jun 24, 2025
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APRN-RNP325684AGAC AZ Primary

Addresses

Primary practice location

14961 W Bell Rd Ste 175
Surprise, AZ 85374-3220

Mailing address

8316 N 177TH Ave
Waddell, AZ 85355-9352
Phone (623) 512-7719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN-RNP325684AGACAZMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1588552152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 N 177TH AVE",
            "city": "WADDELL",
            "state": "AZ",
            "postal_code": "853559352",
            "telephone_number": "623-512-7719",
            "fax_number": "623-321-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14961 W BELL RD STE 175",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743220",
            "telephone_number": "623-242-9830",
            "fax_number": "623-243-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ROBERT",
        "middle_name": "FRANCIS",
        "name_suffix": "Jr.",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "APRN-RNP325684AGAC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.