Individual provider Active NPI

Jude Belmonte, FNP-C

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1730627613
Registry record updated Jan 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
251184 Issued in AZ
Practice address
9043 W Olive Ave
Peoria, AZ 85345-7049
Phone
(623) 776-2065
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2024

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 251184 AZ Primary

Addresses

Primary practice location

9043 W Olive Ave
Peoria, AZ 85345-7049

Mailing address

9043 W Olive Ave
Peoria, AZ 85345-7049
Phone (623) 776-2065

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
I20210326000462 AZ Practitioner - Nurse Practitioner 1759798325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Arizona LLCGroup PAC ID 4981797982, 43 clinicians

Practice addresses (Care Compare)

1575 N Dysart Rd
Avondale, AZ 85392-1204
Phone (623) 687-9883

Merit-based Incentive Payment System (MIPS)

Final score
84.28 of 100Reported as group
Quality
69.93
Promoting interoperability
100
Improvement activities
40
Cost
77.66

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Arizona LLC Family CurrentSince Apr 7, 2021 Accepting new patients

Locations

1575 N Dysart Rd
Avondale, AZ 85392
Phone (623) 687-9883

9043 W Olive Ave
Peoria, AZ 85345
Phone (623) 776-2065

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

Interoperability endpoints

  • Direct secure messaging: jude.belmonte@krogerhealth.eclinicaldirectplus.com

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": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704499200000",
    "number": "1730627613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9043 W OLIVE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457049",
            "telephone_number": "623-776-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9043 W OLIVE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457049",
            "telephone_number": "623-776-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELMONTE",
        "first_name": "JUDE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2024-01-06",
        "certification_date": "2024-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "251184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.