Individual provider Active NPI

Jodi M. Todd, FNP, MSN-L, RN, CCRN

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1811672512
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
293528 Issued in AZ
Practice address
16772 W Bell Rd Ste 110-619
Surprise, AZ 85374-9702
Phone
(480) 531-1681
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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 293528 AZ Primary

Addresses

Primary practice location

16772 W Bell Rd Ste 110-619
Surprise, AZ 85374-9702

Mailing address

3325 W King Dr
Anthem, AZ 85086-1679
Phone (602) 741-2004

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
I20231113003057 AZ Practitioner - Nurse Practitioner 2961859947 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
Shirah Surgical PLLCGroup PAC ID 9234585944, 5 clinicians

Practice addresses (Care Compare)

720 E Thunderbird Rd
Suite 3
Phoenix, AZ 85022-5396
Phone (480) 531-1681

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shirah Surgical PLLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

720 E Thunderbird Rd
Ste 3
Phoenix, AZ 85022
Phone (480) 531-1681

7600 N 15th St
Ste 150
Phoenix, AZ 85020
Phone (480) 256-8240

16772 W Bell Rd
Ste 110619
Surprise, AZ 85374
Phone (480) 466-0827

Interoperability endpoints

  • Direct secure messaging: jtodd448270@direct.honorhealth.com

Organizations & group practices 1

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": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1811672512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 W KING DR",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850861679",
            "telephone_number": "602-741-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16772 W BELL RD STE 110-619",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853749702",
            "telephone_number": "480-531-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "JODI",
        "middle_name": "M.",
        "credential": "FNP, MSN-L, RN, CCRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "293528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.