Individual provider Active NPI

Patricia Sue Tillack, ANP

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1861459042
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
186 Issued in AZ
Practice address
9224 N 28TH St
Phoenix, AZ 85028-4705
Phone
(602) 510-6977
Fax
(602) 795-1442
NPI assigned
Apr 29, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 186 AZ Primary

Addresses

Primary practice location

9224 N 28TH St
Phoenix, AZ 85028-4705

Mailing address

9224 N 28TH St
Phoenix, AZ 85028-4705
Phone (602) 510-6977

Other names 1

  • Mrs. Patricia Sue Ormsby 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
I20071019000303 AZ Practitioner - Nurse Practitioner 9133215254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arizona College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asap Health Solutions IncGroup PAC ID 8628962792, 9 clinicians

Practice addresses (Care Compare)

29455 N Cave Creek Rd
Cave Creek, AZ 85331-3245

5711 E Aire Libre Ave
Scottsdale, AZ 85254-1206
Phone (480) 236-5646

9846 N 95TH St
Scottsdale, AZ 85258-4597
Phone (480) 214-4200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asap Health Solutions Inc CurrentSince Oct 1, 2007 Accepting new patients
The Park on 7TH Avenue Past Accepting new patients
Phoenix Geriatrics & Internal Medicine P L L C Past Accepting new patients
State of Arizona/State Dept of Finance Past Accepting new patients
For Health of Arizona, Inc. Past Accepting new patients
Park Seven Operations LLC Past Accepting new patients

Locations

29455 N Cave Creek Rd
Ste 118605
Cave Creek, AZ 85331
Phone (602) 996-5595

5757 W Chandler Blvd
Chandler, AZ 85226
Phone (480) 786-4998

13714 N Plaza del Rio Blvd
Peoria, AZ 85381
Phone (623) 815-6100

20625 N Lake Pleasant Rd
Peoria, AZ 85382
Phone (623) 476-3664

16621 N 38th St
Phoenix, AZ 85032
Phone (602) 787-0800

2509 N 24th St
Phoenix, AZ 85008
Phone (602) 273-1347

4065 E Bell Rd
Phoenix, AZ 85032
Phone (602) 867-0212

6246 N 19th Ave
Phoenix, AZ 85015
Phone (602) 433-6300

8825 S 7th St
Phoenix, AZ 85042
Phone (602) 243-6121

3339 N Drinkwater Blvd
Scottsdale, AZ 85251
Phone (480) 296-7169

9494 E Becker Ln
Scottsdale, AZ 85260
Phone (480) 331-7702

9846 N 95th St
Scottsdale, AZ 85258
Phone (480) 214-4200

9940 W Union Hills Dr
Sun City, AZ 85373
Phone (602) 933-0022

1610 E Guadalupe Rd
Tempe, AZ 85283
Phone (480) 777-9334

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1861459042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9224 N 28TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284705",
            "telephone_number": "602-510-6977",
            "fax_number": "602-795-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9224 N 28TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284705",
            "telephone_number": "602-510-6977",
            "fax_number": "602-795-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLACK",
        "first_name": "PATRICIA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "ORMSBY",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.