Individual provider Active NPI

Nichole Marie Krueger, NP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1811483415
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11490 Issued in AZ
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

Updated by the provider on Jun 29, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181009001387 AZ Practitioner - Nurse Practitioner 0345592994 Reassigns benefits to 3 organizations

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
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

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

LicenseStateTypeSpecialty
AP11490AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Cardiology Consultants, PC CurrentSince Oct 1, 2024 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 31, 2025 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 31, 2025 Accepting new patients
Honorhealth Ambulatory CurrentSince Nov 27, 2023 Accepting new patients
Tri-City Cardiology Consultants, PC CurrentSince Oct 1, 2024 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Scottsdale Healthcare Corp CurrentSince Nov 27, 2023 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

  • Direct secure messaging: nichole.krueger.1@600.direct.athenahealth.com
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.