Individual provider Active NPI

Kimberlyn Joy Carter, NP

  • Acute Care Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1861112658
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
280152 Issued in AZ
Practice address
1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone
(928) 773-0003
Fax
(928) 773-1170
NPI assigned
Aug 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 280152 AZ
Acute Care Nurse Practitioner 363LA2100X 280152 AZ Primary

Addresses

Primary practice location

1003 Willow Creek Rd
Prescott, AZ 86301-1641

Mailing address

PO Box 967
Flagstaff, AZ 86002-0967
Phone (928) 773-0003

Other practice location 1

3555 S Val Vista Dr
Gilbert, AZ 85297-7323
Phone (480) 728-8000

Other practice location 2

485 S Dobson Rd Ste 201
Chandler, AZ 85224-5604
Phone (480) 728-4700

Other identifiers 1

IdentifierTypeStateIssuer
132543MedicaidAZ

Other names 1

  • Ms. Kimberlyn Joy Nagel Former name

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
I20230607002036 AZ Practitioner - Nurse Practitioner 0244697175 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naz Hospitalists IncGroup PAC ID 5294627816, 28 clinicians
Chandler Regional Medical CenterGroup PAC ID 5395729784, 52 clinicians

Practice addresses (Care Compare)

1003 Willow Creek Rd
Prescott, AZ 86301-1641
Phone (928) 771-5470

1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 728-4700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280152AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Medical Center CurrentSince Jan 1, 2025 Accepting new patients
St Josephs Pathology Current Accepting new patients
Chandler Regional Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Naz Hospitalists Inc CurrentSince Jan 10, 2024 Accepting new patients
Sjhmc Physician Services CurrentSince Jul 1, 2023 Accepting new patients
Yavapai Community Hospital Association Past Accepting new patients

Locations

485 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 728-4700

1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961

3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

1003 Willow Creek Rd
Ste 1300
Prescott, AZ 86301

File 56765
Los Angeles, CA 90074

Organizations & group practices 6

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 3

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": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1861112658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860020967",
            "telephone_number": "928-773-0003",
            "fax_number": "928-773-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011641",
            "telephone_number": "928-773-0003",
            "fax_number": "928-773-1170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 S Val Vista Dr",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852977323",
            "country_code": "US",
            "telephone_number": "480-728-8000",
            "fax_number": "480-728-4747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "485 S Dobson Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852245604",
            "country_code": "US",
            "telephone_number": "480-728-4700",
            "fax_number": "480-728-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARTER",
        "first_name": "KIMBERLYN",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "280152",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "280152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132543",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLYN",
            "last_name": "NAGEL",
            "middle_name": "JOY",
            "prefix": "MS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.