Active NPI
James Edward Conkle Jr., N.P.
- Family Nurse Practitioner
- Goodyear, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 239878
- Practice address
- 13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713 - Phone
- (480) 964-2273
- Fax
- (623) 213-8808
- NPI assigned
- Sep 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 239878 | AZ | Primary |
Addresses
Primary practice location
13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713
Mailing address
3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (623) 583-3001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713
Phone (877) 809-5092
15317 W Bell Rd
Suite 100
Surprise, AZ 85374-3900
Phone (877) 809-5092
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adelante Healthcare, Inc. | Current | Accepting new patients | |
| University Medical Associates Inc. | Current | Accepting new patients | |
| Hopewell Health Centers Inc | Current | Accepting new patients | |
| The Little Clinic of Arizona LLC | Family | Current | Accepting new patients |
| Hopewell Health Centers Inc | Current | Accepting new patients | |
| Hopewell Health Centers Inc | Current | Accepting new patients | |
| Adelante Healthcare, Inc. | Past | Accepting new patients | |
| University Medical Associates Inc | Past | Accepting new patients |
Locations
1300 S Watson Rd
Buckeye, AZ 85326
Phone (623) 241-5322
306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814
13471 W Cornerstone Blvd
Goodyear, AZ 85395
1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769
15525 N 83rd Ave
Ste 104
Peoria, AZ 85382
3033 N Central Ave
Ste 145
Phoenix, AZ 85012
2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386
9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 710-7487
15351 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 872-2226
15351 W Bell Rd
Surprise, AZ 85374
90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091
1049 Western Ave
Chillicothe, OH 45601
Phone (740) 773-1006
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Wickenburg, AZ
- NPI 1083772545
-
- Family Nurse Practitioner
- Buckeye, AZ
- NPI 1023216249
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, OH
- NPI 1699010348
-
- Federally Qualified Health Center (FQHC)
- Buckeye, AZ
- NPI 1801954441
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Belpre, OH
- NPI 1144732348
-
- Primary Care Clinic/Center
- New Lexington, OH
- NPI 1972690238
-
- Multi-Specialty Clinic/Center
- Athens, OH
- NPI 1023047974
-
- Federally Qualified Health Center (FQHC)
- Surprise, AZ
- NPI 1205994761
-
- Registered Nurse
- Athens, OH
- NPI 1376889675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708387200000",
"number": "1861709537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3033 N CENTRAL AVE STE 145",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122808",
"telephone_number": "623-583-3001",
"fax_number": "623-974-6721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13471 W CORNERSTONE BLVD",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853952713",
"telephone_number": "480-964-2273",
"fax_number": "623-213-8808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONKLE",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-01",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "239878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.