Individual provider Active NPI

Frances Weaver Grill, FNP

  • Family Nurse Practitioner
  • Willcox, AZ
National Provider Identifier
1679790174
Registry record updated Nov 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP0887 Issued in AZ
Practice address
801 W Rex Allen Dr
Willcox, AZ 85643-1129
Phone
(520) 766-5000
Fax
(520) 766-5001
NPI assigned
Apr 19, 2007
Last updated
Nov 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2011

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 AP0887 AZ Primary

Addresses

Primary practice location

801 W Rex Allen Dr
Willcox, AZ 85643-1129

Mailing address

801 W Rex Allen Dr
Willcox, AZ 85643-1129
Phone (520) 766-5000

Other identifiers 1

IdentifierTypeStateIssuer
805434MedicaidAZ

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
I20100513000329 AZ Practitioner - Nurse Practitioner 8527196468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walker Family Medicine PLCGroup PAC ID 1557445004, 5 clinicians

Practice addresses (Care Compare)

801 W Rex Allen Dr
Wilcox, AZ 85643-1129
Phone (520) 766-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP0887AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Family Medicine PLC CurrentSince Oct 10, 2011 Accepting new patients
Walker Family Medicine PLC CurrentSince Oct 10, 2011 Accepting new patients

Locations

801 W Rex Allen Dr
Willcox, AZ 85643
Phone (520) 766-5000

Interoperability endpoints

  • Direct secure messaging: francesgrill_7530@wfm.omnimddirect.com

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320364800000",
    "number": "1679790174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W REX ALLEN DR",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431129",
            "telephone_number": "520-766-5000",
            "fax_number": "520-766-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W REX ALLEN DR",
            "city": "WILLCOX",
            "state": "AZ",
            "postal_code": "856431129",
            "telephone_number": "520-766-5000",
            "fax_number": "520-766-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRILL",
        "first_name": "FRANCES",
        "middle_name": "WEAVER",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2011-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP0887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805434",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willcox, AZ

Sources for this page

Verify at the official NPI Registry.