Individual provider Active NPI

Antonia Mills

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1871368977
Registry record updated Nov 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
245745 Issued in AZ
Practice address
1731 W Baseline Rd Ste 113
Mesa, AZ 85202-5782
Phone
(480) 687-1773
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 245745 AZ Primary

Addresses

Primary practice location

1731 W Baseline Rd Ste 113
Mesa, AZ 85202-5782

Mailing address

1731 W Baseline Rd Ste 113
Mesa, AZ 85202-5782
Phone (623) 297-4524

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
I20240619001284 AZ Practitioner - Nurse Practitioner 4183167125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians

Practice addresses (Care Compare)

2770 E Van Buren St
Phoenix, AZ 85008-6088
Phone (602) 273-9999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
245745AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince May 1, 2024 Accepting new patients
Phoenix Holistic Psychiatry LLC CurrentSince May 1, 2024 Accepting new patients
Free Life Wellness Center LLC CurrentSince Nov 19, 2023 Accepting new patients
Nexus Neurohealth & Wellness LLC Psychiatric/Mental Health Current Accepting new patients
Empassion Psychiatry, PLLC Current Accepting new patients
Community Bridges, Inc. CurrentSince May 1, 2024 Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. PastSince Jun 21, 2022 Accepting new patients
Community Bridges, Inc. PastSince Jul 17, 2022 Accepting new patients

Locations

824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457

2190 N Grace Blvd
Chandler, AZ 85225
Phone (480) 470-0069

929 N Val Vista Dr
Ste 109130
Gilbert, AZ 85234

358 E Javelina Ave
Ste 102
Mesa, AZ 85210
Phone (480) 507-3180

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

1731 W Baseline Rd
Ste 113
Mesa, AZ 85202
Phone (480) 687-1773

560 S Bellview
Rm A
Mesa, AZ 85204
Phone (480) 962-7711

1520 E Pima St
Phoenix, AZ 85034
Phone (480) 232-8325

2770 E Van Buren St
Phoenix, AZ 85008
Phone (602) 273-9999

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

2770 E Van Buren St
Rm A
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

2770 E Van Buren St
Rm E
Phoenix, AZ 85008
Phone (602) 273-9999

250 S Toole Ave
Ste B
Tucson, AZ 85701
Phone (520) 323-1312

Interoperability endpoints

  • Direct secure messaging: antonia.mills.p1@direct.cbridges.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700265600000",
    "number": "1871368977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1731 W BASELINE RD STE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025782",
            "telephone_number": "623-297-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 W BASELINE RD STE 113",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025782",
            "telephone_number": "480-687-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "ANTONIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "245745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.