Individual provider Active NPI

Nathan John Cloutier, NP-C

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1801214747
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5421 Issued in AZ
Practice address
2345 E Southern Ave
Mesa, AZ 85204-5419
Phone
(480) 707-1569
NPI assigned
Mar 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 AP5421 AZ Primary

Addresses

Primary practice location

2345 E Southern Ave
Mesa, AZ 85204-5419

Mailing address

1537 W Milagro Ave
Mesa, AZ 85202-7571
Phone (480) 707-1569

Other identifiers 1

IdentifierTypeStateIssuer
005578MedicaidAZ

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
I20140715000114 AZ Practitioner - Nurse Practitioner 4981797842 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifeline Hospitalist Associates LLCGroup PAC ID 3577961606, 17 clinicians

Practice addresses (Care Compare)

255 W Brown Rd
Mesa, AZ 85201-3404
Phone (480) 833-3988

Hospital & facility affiliations

  • Summit Healthcare Regional Medical Center Hospital, Show Low, AZ, CCN 030062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP5421AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Physicians PLLC CurrentSince May 8, 2019 Accepting new patients
Lifeline Hospitalist Associates LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

3401 Lockwood Dr
Lakeside, AZ 85929
Phone (928) 368-2060

2345 E Southern Ave
#101
Mesa, AZ 85204
Phone (480) 893-2345

2345 E Southern Ave
Ste 101
Mesa, AZ 85204
Phone (480) 893-2345

4022 E Presidio St
Mesa, AZ 85215
Phone (480) 296-7642

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

2345 E Southern Ave
Mesa, AZ 85204
Phone (480) 707-1569

4065 E Bell Rd
Phoenix, AZ 85032
Phone (602) 867-0212

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

Interoperability endpoints

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

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.

Hospital & facility affiliations 3

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": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1801214747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 W MILAGRO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852027571",
            "telephone_number": "480-707-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E SOUTHERN AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045419",
            "telephone_number": "480-707-1569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUTIER",
        "first_name": "NATHAN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005578",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.