Individual provider Active NPI

Shirlee Mae Artis, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1760264436
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
301720 Issued in AZ
Practice address
5048 W Northern Ave Ste 106
Glendale, AZ 85301-1558
Phone
(623) 435-0190
NPI assigned
Oct 18, 2023
Last updated
Mar 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 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 301720 AZ Primary

Addresses

Primary practice location

5048 W Northern Ave Ste 106
Glendale, AZ 85301-1558

Mailing address

5048 W Northern Ave Ste 106
Glendale, AZ 85301-1558
Phone (623) 435-0190

Other practice location 1

20823 N Cave Creek Rd Ste 103
Phoenix, AZ 85024-4469
Phone (623) 439-5585

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
I20240502002797 AZ Practitioner - Nurse Practitioner 0941640262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Medical Care LLCGroup PAC ID 2860538790, 6 clinicians

Practice addresses (Care Compare)

5048 W Northern Ave
Suite 106
Glendale, AZ 85301-1558
Phone (623) 435-0190

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Medical Care, LLC CurrentSince Nov 24, 2024 Accepting new patients
Total Medical Care, LLC CurrentSince Mar 1, 2024 Accepting new patients
Sandra Dinwiddie Nurse Practitioner CurrentSince Mar 25, 2024 Accepting new patients

Locations

5048 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (623) 435-0190

20823 N Cave Creek Rd
Ste 103
Phoenix, AZ 85024
Phone (623) 439-5585

3120 W Carefree Hwy
Ste 1
Phoenix, AZ 85086
Phone (480) 268-0561

Organizations & group practices 3

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": "1697587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1760264436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5048 W NORTHERN AVE STE 106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011558",
            "telephone_number": "623-435-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5048 W NORTHERN AVE STE 106",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853011558",
            "telephone_number": "623-435-0190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20823 N Cave Creek Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850244469",
            "country_code": "US",
            "telephone_number": "623-439-5585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARTIS",
        "first_name": "SHIRLEE",
        "middle_name": "MAE",
        "name_prefix": "Miss",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-18",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "301720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.