Individual provider Active NPI

Michelle H Yoon, NP-C

  • Nurse Practitioner
  • Chandler, AZ
National Provider Identifier
1619856499
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RNP254979 Issued in AZ
Practice address
3930 S Alma School Rd Ste 1
Chandler, AZ 85248-4510
Phone
(480) 726-6632
NPI assigned
Aug 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RNP254979 AZ Primary

Addresses

Primary practice location

3930 S Alma School Rd Ste 1
Chandler, AZ 85248-4510

Mailing address

3930 S Alma School Rd Ste 1
Chandler, AZ 85248-4510
Phone (480) 726-6632

Other practice location 1

2015 N Dobson Rd Ste 11
Chandler, AZ 85224-2295
Phone (480) 726-6632

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
I20251106003290 AZ Practitioner - Nurse Practitioner 3577053719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fountains Family Care PCGroup PAC ID 4880608710, 8 clinicians

Practice addresses (Care Compare)

3930 S Alma School Rd
Suite 1
Chandler, AZ 85248-4510
Phone (480) 726-6632

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP254979AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fountains Family Care, P.C. CurrentSince Jan 4, 2026 Accepting new patients

Locations

3930 S Alma School Rd
Ste 1
Chandler, AZ 85248
Phone (480) 726-6632

2015 N Dobson Rd
Ste 11
Chandler, AZ 85224
Phone (480) 726-6632

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": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1619856499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 S ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484510",
            "telephone_number": "480-726-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 S ALMA SCHOOL RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852484510",
            "telephone_number": "480-726-6632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2015 N Dobson Rd Ste 11",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852242295",
            "country_code": "US",
            "telephone_number": "480-726-6632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOON",
        "first_name": "MICHELLE",
        "middle_name": "H",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RNP254979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.