Individual provider Active NPI

Kellea Bell Danuser, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1700888153
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN155390 Issued in AZ
Practice address
22711 S Ellsworth Road
Suite 104
Queen Creek, AZ 85142-6789
Phone
(480) 782-0993
Fax
(833) 337-0386
NPI assigned
Aug 15, 2005
Last updated
Oct 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP8148 CA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN155390 AZ Primary

Addresses

Primary practice location

22711 S Ellsworth Road
Suite 104
Queen Creek, AZ 85142-6789

Mailing address

1661 Camelback Rd
Suite 200
Phoenix, AZ 85016-3913
Phone (602) 422-9000

Other names 1

  • Ms. Kellea Turley 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
I20090120000238 AZ Practitioner - Nurse Practitioner 5799848610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

1950 W Frye Rd
Suite B
Chandler, AZ 85224-6255
Phone (480) 895-9555

22711 S Ellsworth Rd
Suite 104
Queen Creek, AZ 85142-6789
Phone (480) 782-0993

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP8148CAMDNurse Practitioner
RN155390AZMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC CurrentSince Sep 1, 2021 Accepting new patients
Momdoc, LLC Obstetrics & Gynecology PastSince Jan 1, 2014 Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1757 E Melrose St
Gilbert, AZ 85297

3370 S Mercy Rd
Ste 314
Gilbert, AZ 85297
Phone (480) 782-0993

3815 S Val Vista Dr
Ste 101
Gilbert, AZ 85297
Phone (480) 782-0993

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

1661 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 265-5954

530 E Thomas Rd
Phoenix, AZ 85012
Phone (602) 351-2229

9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558

22711 S Ellsworth Rd
Ste 104
Queen Creek, AZ 85142
Phone (480) 782-0993

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

Interoperability endpoints

  • Direct secure messaging: kellea.danuser.1@14294.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1700888153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 CAMELBACK RD",
            "address_2": "SUITE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163913",
            "telephone_number": "602-422-9000",
            "fax_number": "602-556-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22711 S ELLSWORTH ROAD",
            "address_2": "SUITE 104",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426789",
            "telephone_number": "480-782-0993",
            "fax_number": "833-337-0386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANUSER",
        "first_name": "KELLEA",
        "middle_name": "BELL",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP8148",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "AZ",
            "license": "RN155390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLEA",
            "last_name": "TURLEY",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.