Individual provider Active NPI

Jacqueline Stockton, FNP-BC

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1760860571
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7798 Issued in AZ
Practice address
10277 N 92ND St
Suite 101
Scottsdale, AZ 85258-4564
Phone
(480) 609-1444
Fax
(480) 609-1359
NPI assigned
May 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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 AP7798 AZ Primary

Addresses

Primary practice location

10277 N 92ND St
Suite 101
Scottsdale, AZ 85258-4564

Mailing address

10277 N 92ND St
101
Scottsdale, AZ 85258-4564
Phone (480) 609-1444

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
I20151123002948 AZ Practitioner - Nurse Practitioner 6305146390 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

6220 W Bell Rd
Suite 100
Glendale, AZ 85308-3896
Phone (602) 547-7200

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015
  • Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7798AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Nov 1, 2015 Accepting new patients
Honorhealth Ambulatory CurrentSince Nov 1, 2015 Accepting new patients
Honorhealth Medical Group, LLC CurrentSince Nov 1, 2015 Accepting new patients
Honorhealth Medical Group, LLC Current Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Honorhealth Medical Group, LLC Past Accepting new patients

Locations

16716 E Palisades Blvd
Ste 101A
Fountain Hills, AZ 85268
Phone (480) 587-6900

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

6220 W Bell Rd
Ste 100
Glendale, AZ 85308
Phone (602) 547-7200

1124 E McKellips Rd
Ste 110
Mesa, AZ 85203
Phone (480) 882-4509

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

10277 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 393-0677

10200 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 314-2288

20745 N Scottsdale Rd
Ste 105
Scottsdale, AZ 85255
Phone (480) 534-4525

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

Interoperability endpoints

  • Direct secure messaging: jstockton67843@direct.honorhealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1760860571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10277 N 92ND ST",
            "address_2": "101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584564",
            "telephone_number": "480-609-1444",
            "fax_number": "480-609-1359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10277 N 92ND ST",
            "address_2": "SUITE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584564",
            "telephone_number": "480-609-1444",
            "fax_number": "480-609-1359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKTON",
        "first_name": "JACQUELINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-12",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.