Active NPI
Nichole Marie Krueger, NP-C
- Family Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP11490
- Practice address
- 3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136 - Phone
- (602) 867-8644
- Fax
- (602) 606-5128
- NPI assigned
- Jul 6, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP11490 | AZ | Primary |
Addresses
Primary practice location
3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136
Mailing address
3805 E Bell Rd Ste 3100
Phoenix, AZ 85032-2136
Phone (602) 494-3656
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1910 E Thomas Rd
Suite 200
Phoenix, AZ 85016-7767
Phone (602) 266-2200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP11490 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-City Cardiology Consultants, PC | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Tri-City Cardiology Consultants, PC | Current | Accepting new patients | |
| Honorhealth Ambulatory | Current | Accepting new patients | |
| Scottsdale Healthcare Corp | Current | Accepting new patients |
Locations
1760 E Pecos Rd
Ste 420
Gilbert, AZ 85295
5422 W Thunderbird Rd
Ste 8
Glendale, AZ 85306
Phone (602) 978-0698
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
6343 E Main St
Ste 12
Mesa, AZ 85205
1520 S Dobson Rd
Ste 209
Mesa, AZ 85202
Phone (602) 835-6100
6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000
6750 E Baywood Ave
Ste 301
Mesa, AZ 85206
Phone (480) 834-6100
19636 N 27th Ave
Ste 401
Phoenix, AZ 85027
Phone (602) 298-8888
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
1910 E Thomas Rd
Ste 200
Phoenix, AZ 85016
19636 N 27th Ave
Ste 306
Phoenix, AZ 85027
Phone (480) 882-7465
10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250
Interoperability endpoints
- nichole.krueger.1@600.direct.athenahealth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
-
- Hematology & Oncology Physician
- Scottsdale, AZ
- NPI 1407050917
-
- Cardiovascular Disease Physician
- Mesa, AZ
- NPI 1144288416
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1891518130
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1609150010
-
- Cardiac Rehabilitation Registered Nurse
- Mesa, AZ
- NPI 1689417636
-
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1891302790
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656460800000",
"number": "1811483415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 E BELL RD STE 3100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322136",
"telephone_number": "602-494-3656",
"fax_number": "602-867-3862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 E BELL RD STE 3100",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322136",
"telephone_number": "602-867-8644",
"fax_number": "602-606-5128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "NICHOLE",
"middle_name": "MARIE",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-06",
"last_updated": "2022-06-29",
"certification_date": "2022-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP11490",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.