Individual provider Active NPI

Tiffany Ann Noetzel, FNP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1639612856
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9663 Issued in AZ
Practice address
7227 E Baseline Rd Ste 126
Mesa, AZ 85209-5006
Phone
(480) 868-9650
Fax
(480) 834-3606
NPI assigned
Nov 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 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 AP9663 AZ Primary

Addresses

Primary practice location

7227 E Baseline Rd Ste 126
Mesa, AZ 85209-5006

Mailing address

250 W Chandler Heights Rd
Chandler, AZ 85248-5055
Phone (480) 659-2759

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
I20171212000234 AZ Practitioner - Nurse Practitioner 6406114974 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP9663AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Practice of Arizona, PLLC CurrentSince Oct 14, 2023 Accepting new patients
Primary Care Practice of Arizona, PLLC CurrentSince Oct 14, 2023 Accepting new patients
Primary Care Practice of Arizona, PLLC Current Accepting new patients
Cogent Healthcare of Arizona PC CurrentSince Jan 10, 2025 Accepting new patients

Locations

1501 S Yale St
Ste 101
Flagstaff, AZ 86001
Phone (928) 773-2238

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

920 E Williams Field Rd
Ste 101
Gilbert, AZ 85295
Phone (480) 499-0201

7227 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (907) 215-4846

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

2971 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 759-5900

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

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": "1479513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1639612856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W CHANDLER HEIGHTS RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852485055",
            "telephone_number": "480-659-2759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7227 E BASELINE RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095006",
            "telephone_number": "480-868-9650",
            "fax_number": "480-834-3606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOETZEL",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-19",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.