Heather Ann Penn, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

312917 Issued in AZ

Practice address

743 Miller Valley Rd
Prescott, AZ 86301-1813

Phone

(928) 777-9600

Fax

(855) 449-5560

NPI assigned

Aug 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 27)

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prescott Healthcare Solutions LLC

  dba Optima Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment Care Compare group NPD
• Sundance Medical Associates PLLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1942481718
  NPD (past)

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1861226664",
    "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": "16928 W Bell Rd Ste 701",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853748948",
            "country_code": "US",
            "telephone_number": "623-850-0026",
            "fax_number": "623-850-0027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4421 E Silverbell Rd",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851433251",
            "country_code": "US",
            "telephone_number": "480-329-5946",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5902 E Pima St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857124322",
            "country_code": "US",
            "telephone_number": "520-886-5315",
            "fax_number": "877-209-7377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4365 E Pecos Rd Ste 134",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852958053",
            "country_code": "US",
            "telephone_number": "480-840-9155",
            "fax_number": "844-772-0049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 N Camino Mercado Ste 7",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225759",
            "country_code": "US",
            "telephone_number": "520-836-5538",
            "fax_number": "844-772-0049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4135 S Power Rd Ste 129",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852123627",
            "country_code": "US",
            "telephone_number": "480-892-7000",
            "fax_number": "480-545-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "450 S Willard St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cottonwood",
            "state": "AZ",
            "postal_code": "863266744",
            "country_code": "US",
            "telephone_number": "928-634-9573",
            "fax_number": "928-634-0135",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 S 20th Ave",
            "address_purpose": "LOCATION",
            "city": "Safford",
            "state": "AZ",
            "postal_code": "855463301",
            "country_code": "US",
            "telephone_number": "928-428-3122",
            "fax_number": "928-428-7917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "87 S State Route 89",
            "address_purpose": "LOCATION",
            "city": "Chino Valley",
            "state": "AZ",
            "postal_code": "863235687",
            "country_code": "US",
            "telephone_number": "928-404-1488",
            "fax_number": "866-232-8580",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7725 N 43rd Ave Ste 510",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850515771",
            "country_code": "US",
            "telephone_number": "480-963-6144",
            "fax_number": "480-899-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3336 E Chandler Heights Rd Ste 132",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852984264",
            "country_code": "US",
            "telephone_number": "480-988-4645",
            "fax_number": "480-988-4745",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 W Elliot Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852335301",
            "country_code": "US",
            "telephone_number": "480-963-6144",
            "fax_number": "480-899-1404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21321 E Ocotillo Rd Ste 133",
            "address_purpose": "LOCATION",
            "city": "Queen Creek",
            "state": "AZ",
            "postal_code": "851425995",
            "country_code": "US",
            "telephone_number": "480-987-5525",
            "fax_number": "480-987-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9171 W Thunderbird Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853814872",
            "country_code": "US",
            "telephone_number": "623-877-0100",
            "fax_number": "623-328-8713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3552 W Baseline Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Laveen",
            "state": "AZ",
            "postal_code": "853393042",
            "country_code": "US",
            "telephone_number": "602-635-6941",
            "fax_number": "602-635-6952",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26224 N Tatum Blvd Ste 15A",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850507500",
            "country_code": "US",
            "telephone_number": "480-663-9632",
            "fax_number": "480-419-6782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5902 E Pima St",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857124322",
            "country_code": "US",
            "telephone_number": "520-886-5315",
            "fax_number": "877-209-7377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3251 N Windsong Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863141222",
            "country_code": "US",
            "telephone_number": "928-772-2582",
            "fax_number": "877-319-1729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 Canyon Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Bullhead City",
            "state": "AZ",
            "postal_code": "864428492",
            "country_code": "US",
            "telephone_number": "928-704-4499",
            "fax_number": "928-704-4949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "286 S Lenzner Ave",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856355685",
            "country_code": "US",
            "telephone_number": "520-452-0388",
            "fax_number": "877-281-8622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENN",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "312917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peaks Youth Behavoral Center LLC
• Michele H Pearson, RN
• Pediatrics in the Pines (Occupational Therapsit)
• John Pemberton, LCSW
• Abigail Pena
• Jessica Leigh Penner, R.N.
• Jeffrey Freeman Penney, MD
• Jovanna Penney
• Rachel Penning, APRN, AGNP-C
• Priscilla Pennington

• Psychiatric/Mental Health Nurse Practitioner in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.