Individual provider Active NPI

Kimberlee A Rooper, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chino Valley, AZ
National Provider Identifier
1831075498
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
324702 Issued in AZ
Practice address
1580 N San Antonio Rd
Chino Valley, AZ 86323-4589
Phone
(928) 776-9024
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 324702 AZ Primary

Addresses

Primary practice location

1580 N San Antonio Rd
Chino Valley, AZ 86323-4589

Mailing address

1580 N San Antonio Rd
Chino Valley, AZ 86323-4589
Phone (928) 776-9024

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
I20260316003635 AZ Practitioner - Nurse Practitioner 7618450818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10240 N 31St Ave
Suite 125
Phoenix, AZ 85051-9599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
324702AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergent Mental Health Services LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

10240 N 31st Ave
Ste 125
Phoenix, AZ 85051
Phone (623) 810-8515

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1831075498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 N SAN ANTONIO RD",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863234589",
            "telephone_number": "928-776-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 N SAN ANTONIO RD",
            "city": "CHINO VALLEY",
            "state": "AZ",
            "postal_code": "863234589",
            "telephone_number": "928-776-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOPER",
        "first_name": "KIMBERLEE",
        "middle_name": "A",
        "credential": "MSN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "324702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Valley, AZ

Sources for this page

Verify at the official NPI Registry.