Individual provider Active NPI

Donna Suzanne Carlson, FNP

  • Family Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1619636628
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
267086 Issued in AZ
Practice address
10001 W Bell Rd Ste 105
Sun City, AZ 85351-1283
Phone
(232) 264-2446
Fax
(415) 252-7176
NPI assigned
Dec 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 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 267086 AZ Primary

Addresses

Primary practice location

10001 W Bell Rd Ste 105
Sun City, AZ 85351-1283

Mailing address

10001 W Bell Rd Ste 105
Sun City, AZ 85351-1283
Phone (232) 264-2446

Other practice location 1

21753 N 77th Ave
Peoria, AZ 85382-2110
Phone (623) 935-9600

Other practice location 2

14044 W Camelback Rd Ste 204
Litchfield Park, AZ 85340-9426
Phone (623) 935-9600

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
I20220110002286 AZ Practitioner - Nurse Practitioner 0840682514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iora Senior Health LLCGroup PAC ID 0143520189, 117 clinicians

Practice addresses (Care Compare)

10001 W Bell Rd
Suite 105
Sun City, AZ 85351-1283
Phone (888) 405-6396

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
267086AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iora Senior Health, LLC CurrentSince Jan 13, 2025 Accepting new patients
Pinnacle Family Medicine PLC Family Medicine CurrentSince Sep 5, 2023 Accepting new patients
Pinnacle Family Medicine PLC Family Medicine CurrentSince Jan 10, 2022 Accepting new patients
Iora Senior Health, LLC Current Accepting new patients
Iora Senior Health, LLC CurrentSince Jan 13, 2025 Accepting new patients
Iora Senior Health, LLC Past Accepting new patients

Locations

14044 W Camelback Rd
Ste 126
Litchfield Park, AZ 85340
Phone (623) 846-7614

14044 W Camelback Rd
Ste 204
Litchfield Pk, AZ 85340
Phone (623) 535-5599

21753 N 77th Ave
Peoria, AZ 85382
Phone (623) 935-9600

3137 W Indian School Rd
Phoenix, AZ 85017
Phone (602) 325-5570

10001 W Bell Rd
Ste 105
Sun City, AZ 85351
Phone (232) 264-2446

1 Embarcadero Ctr
Fl 19
San Francisco, CA 94111
Phone (415) 814-0927

Organizations & group practices 6

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1619636628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W BELL RD STE 105",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511283",
            "telephone_number": "232-264-2446",
            "fax_number": "415-252-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 W BELL RD STE 105",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853511283",
            "telephone_number": "232-264-2446",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21753 N 77th Ave",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853822110",
            "country_code": "US",
            "telephone_number": "623-935-9600",
            "fax_number": "623-935-9602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14044 W Camelback Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Litchfield Park",
            "state": "AZ",
            "postal_code": "853409426",
            "country_code": "US",
            "telephone_number": "623-935-9600",
            "fax_number": "623-935-9602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "DONNA",
        "middle_name": "SUZANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "267086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.