Edmund Allison, FNP - C
Individual provider Active NPI Family Nurse Practitioner · Laveen, AZ
NPI 1780197293 · NPPES record last updated Mar 18, 2026
Key facts
- NPI
- 1780197293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP11046 (AZ)
- Practice address
- 17487 S Healthcare Dr
Laveen, AZ 85339-8500 - Phone
- (520) 550-6000
- Fax
- (520) 550-6027
- NPI assigned
- Nov 7, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Gila River Health Care Corporation
Practice addresses (Care Compare)
17487 S Health Care Dr
Hu Hu Kam Memorial Hospital
Laveen, AZ 85339-0038
Phone (520) 550-6000
Hospital & facility affiliations
- Huhu Kam Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.21 of 100
- Quality
- 76.88
- Promoting interoperability
- 76
- Improvement activities
- 40
- Cost
- 73.83
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180416002587 | AZ | Practitioner - Nurse Practitioner | 2365705241 | Reassigns benefits to 1 organization |
| I20230123000127 | TX | Practitioner - Nurse Practitioner | 2365705241 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP11046 | AZ | MD | Family Nurse Practitioner |
| APN0000022725 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthnex Integrative Care | Family | Current | Accepting new patients |
| North Country Healthcare, Inc. | Current |
Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current |
Accepting new patients | |
| Gila River Health Care Corporation | Current |
Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| Gila River Health Care | Current |
Accepting new patients | |
| Corner Health Medical Group P a | Family | Current |
Accepting new patients |
| DHHS PHS IHS Phoenix Area | Current |
Accepting new patients | |
| North Country Healthcare Inc | Past | Accepting new patients |
Locations
2585 Miracle Mile
Ste 116
Bullhead City, AZ 86442
Phone (928) 704-1221
1501 S Yale St
Ste 252
Flagstaff, AZ 86001
Phone (928) 774-1811
2187 N Vickey St
Ste 2
Flagstaff, AZ 86004
Phone (928) 527-1899
2500 N Rose St
Flagstaff, AZ 86004
Phone (928) 213-6121
2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100
1120 W University Ave
Flagstaff, AZ 86001
Phone (928) 522-1300
2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100
1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177
17487 S Healthcare Dr
Laveen, AZ 85339
Phone (520) 550-6000
17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000
2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800
48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881
1910 S Stapley Dr
Ste 120
Mesa, AZ 85204
Phone (480) 480-2794
126 E Main St
Ste B
Payson, AZ 85541
Phone (928) 472-3700
2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719
2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300
488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127
173 N Haskell Ave
Willcox, AZ 85643
Phone (480) 530-6170
301 S 7th St
Williams, AZ 86046
Phone (928) 380-2611
620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700
312 Arizona Ave
Ste 314
Santa Monica, CA 90401
401 Picacho Rd
Winterhaven, CA 92283
Phone (760) 572-4100
4100 W 150th St
Cleveland, OH 44135
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN0000022725 | TN | |
| Family Nurse Practitioner | 363LF0000X | AP11046 | AZ | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP11046 | AZ |
Addresses
Primary practice location
17487 S Healthcare Dr
Laveen, AZ 85339-8500
Mailing address
PO Box 115
Sacaton, AZ 85147-0002
Phone (520) 796-2600
Other providers in Laveen, AZ
- Zaneta Renita Alexander
- Nabaa Aljnabi
- All Minds Crave Success LLC
- Camara Allen
- Alliance Hospitalists LLC
- Allpoints Frontline Wellness, PLLC
- Alpha Omega Non Emergency Medical Transportation, LLC
- Alter Homes LLC
- Simon Amedai
- Tesfai Gebre Amedai
All providers in Laveen, AZ · Family Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.