NPIMap

Individual provider Active NPI

Mercy George

  • Primary Care Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1831705524
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2467665 Issued in AZ
Practice address
22707 S Ellsworth Rd
Queen Creek, AZ 85142-6131
Phone
(480) 677-3494
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X F09200264 AZ
Primary Care Nurse Practitioner 363LP2300X 2467665 AZ Primary

Addresses

Primary practice location

22707 S Ellsworth Rd
Queen Creek, AZ 85142-6131

Mailing address

22707 S Ellsworth Rd
Queen Creek, AZ 85142-6131
Phone (480) 677-3494

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Phoenix

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210505001074 AZ Practitioner - Nurse Practitioner 3870902752 Reassigns benefits to 1 organization
I20251205004270 TX Practitioner - Nurse Practitioner 3870902752 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

291 W Casa Blanca Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (520) 562-3323

483 W Seed Farm Rd
Sacaton, AZ 85147-0038

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2467665AZMDPrimary Care Nurse Practitioner
F09200264AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Sky Endocrinology Associates PLC CurrentSince Jan 1, 2024 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care CurrentSince Jul 25, 2025 Accepting new patients
Gila River Health Care Corporation CurrentSince Jul 25, 2025 Accepting new patients
Mountain Park Health Center - Dental PastSince Jan 1, 2024 Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

8427 E Baseline Rd
Ste 104
Mesa, AZ 85209
Phone (480) 832-0900

7115 E Baseline Rd
Ste 110
Mesa, AZ 85209
Phone (480) 626-4999

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIAGAD

Organizations & group practices 5

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 5

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1831705524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22707 S ELLSWORTH RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426131",
            "telephone_number": "480-677-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22707 S ELLSWORTH RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426131",
            "telephone_number": "480-677-3494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MERCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "F09200264",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "2467665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Phoenix",
            "affiliation": "N",
            "address_1": "1955 W Frye Rd",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852246282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.