Individual provider Active NPI

Charis Elizabeth Jones, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Chino Valley, AZ
National Provider Identifier
1649685322
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
296580 Issued in AZ
Practice address
87 S State Route 89
Chino Valley, AZ 86323-5687
Phone
(480) 716-6014
Fax
(480) 716-6014
NPI assigned
Jun 21, 2014
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 296580 AZ Primary
Registered Nurse 163W00000X 270447 NC

Addresses

Primary practice location

87 S State Route 89
Chino Valley, AZ 86323-5687

Mailing address

1355 N Scottsdale Rd Ste 240
Scottsdale, AZ 85257-3594
Phone (480) 900-7256

Other names 1

  • Charis Elizabeth Conner Former 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
I20231017003517 AZ Practitioner - Nurse Practitioner 7214382803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

87 S State Route 89
Chino Valley, AZ 86323-5687
Phone (928) 404-1488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
270447NCMDRegistered Nurse
296580AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC CurrentSince Oct 4, 2023 Accepting new patients
Sundance Medical Associates PLLC PastSince Oct 8, 2023 Accepting new patients

Locations

2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499

560 N Camino Mercado
Ste 7
Casa Grande, AZ 85122
Phone (520) 836-5538

87 S US Highway 89
Chino Valley, AZ 86323
Phone (928) 404-1488

450 S Willard St
Ste 103
Cottonwood, AZ 86326
Phone (928) 634-4231

12075 E State Route 69
Dewey, AZ 86327
Phone (928) 404-1488

3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

9171 W Thunderbird Rd
Ste 101
Peoria, AZ 85381
Phone (623) 877-0100

26224 N Tatum Blvd
Ste 15A
Phoenix, AZ 85050
Phone (480) 663-9632

7725 N 43rd Ave
Ste 510
Phoenix, AZ 85051
Phone (623) 207-5465

743 Miller Valley Rd
Prescott, AZ 86301
Phone (928) 443-1000

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

21321 E Ocotillo Rd
Ste 133
Queen Creek, AZ 85142
Phone (480) 900-7256

21321 E Ocotillo Rd
Ste 133134
Queen Creek, AZ 85142
Phone (480) 987-5525

1300 S 20th Ave
Safford, AZ 85546
Phone (928) 428-3122

286 S Lenzner Ave
Ste A
Sierra Vista, AZ 85635
Phone (520) 452-0388

5902 E Pima St
Tucson, AZ 85712
Phone (520) 886-5315

5981 E Grant Rd
Ste 115
Tucson, AZ 85712
Phone (520) 886-5315

Organizations & group practices 2

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": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1649685322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 N SCOTTSDALE RD STE 240",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573594",
            "telephone_number": "480-900-7256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 S STATE ROUTE 89",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863235687",
            "telephone_number": "480-716-6014",
            "fax_number": "480-716-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHARIS",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-21",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "296580",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "270447",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARIS",
            "last_name": "CONNER",
            "middle_name": "ELIZABETH",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chino Valley, AZ

Sources for this page

Verify at the official NPI Registry.