Individual provider Active NPI

Nicholas Saulnier, FNP-C

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1790406403
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
280661 Issued in AZ
Practice address
5771 W Eugie Ave
Glendale, AZ 85304-1241
Phone
(602) 277-7526
NPI assigned
Sep 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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 280661 AZ Primary

Addresses

Primary practice location

5771 W Eugie Ave
Glendale, AZ 85304-1241

Mailing address

5740 W Villa Maria Dr
Glendale, AZ 85308-7236
Phone (602) 908-7952

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
I20241014003929 AZ Practitioner - Nurse Practitioner 1850823931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prisma Community CareGroup PAC ID 3678518016, 12 clinicians

Practice addresses (Care Compare)

1101 N Central Ave
Suite 200
Phoenix, AZ 85004-1844
Phone (602) 307-5330

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prisma Community Care CurrentSince Oct 1, 2024 Accepting new patients
Planned Parenthood Arizona CurrentSince Apr 27, 2025 Accepting new patients
Planned Parenthood Arizona PastSince Sep 11, 2022 Accepting new patients

Locations

5771 W Eugie Ave
Glendale, AZ 85304
Phone (602) 263-4212

1101 N Central Ave
Ste 200
Phoenix, AZ 85004
Phone (602) 307-5330

4751 N 15th St
Phoenix, AZ 85014
Phone (602) 263-4210

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFJCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1790406403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 W VILLA MARIA DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087236",
            "telephone_number": "602-908-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 W EUGIE AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041241",
            "telephone_number": "602-277-7526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAULNIER",
        "first_name": "NICHOLAS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "280661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.