Individual provider Active NPI

Jason Lawrence Joshua

  • Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1831070077
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
285505 Issued in AZ
Practice address
743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone
(928) 777-9600
Fax
(855) 449-5560
NPI assigned
Sep 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 285505 AZ Primary

Addresses

Primary practice location

743 Miller Valley Rd
Prescott, AZ 86301-1813

Mailing address

743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone (928) 777-9600

Other practice location 1

1492 S Mill Ave Ste 212
Tempe, AZ 85281-5664
Phone (480) 410-4128

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
I20251103000512 AZ Practitioner - Nurse Practitioner 0547759193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Be Well Family CareGroup PAC ID 2163844986, 9 clinicians

Practice addresses (Care Compare)

1492 S Mill Aveune
Suite 212
Tempe, AZ 85281-5664
Phone (480) 410-4128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285505AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Be Well Family Care CurrentSince Oct 20, 2025 Accepting new patients

Locations

3402 N Central Ave
Phoenix, AZ 85012
Phone (480) 410-4128

10446 N 74th St
Ste 140
Scottsdale, AZ 85258
Phone (602) 441-2778

1492 S Mill Ave
Ste 212
Tempe, AZ 85281
Phone (480) 410-4128

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22341/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jason.joshua.1@22341.direct.athenahealth.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.

NPI Registry JSON

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

{
    "created_epoch": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1831070077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 MILLER VALLEY RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011813",
            "telephone_number": "928-777-9600",
            "fax_number": "855-449-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 MILLER VALLEY RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011813",
            "telephone_number": "928-777-9600",
            "fax_number": "855-449-5560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1492 S Mill Ave Ste 212",
            "address_purpose": "LOCATION",
            "city": "Tempe",
            "state": "AZ",
            "postal_code": "852815664",
            "country_code": "US",
            "telephone_number": "480-410-4128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSHUA",
        "first_name": "JASON",
        "middle_name": "LAWRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-11",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "285505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.