Individual provider Active NPI

Carmen Shavon Hill-Mekoba, DNP, APRN-BC

  • Gerontology Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1871699348
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
183075 Issued in GA
Practice address
15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717
Phone
(480) 805-5453
NPI assigned
Sep 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 183075 GA Primary
Gerontology Nurse Practitioner 363LG0600X AP11117 AZ

Addresses

Primary practice location

15333 N Pima Rd Ste 305
Scottsdale, AZ 85260-2717

Mailing address

9706 N Four Peaks Way
Fountain Hills, AZ 85268-6561
Phone (404) 453-8558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WV, NM, TX, CO, WA, NV7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20180702003257 AZ Practitioner - Nurse Practitioner 0941208359 Reassigns benefits to 1 organization
I20250224001678 WV Practitioner - Nurse Practitioner 0941208359 Reassigns benefits to 2 organizations
I20250320001558 NM Practitioner - Nurse Practitioner 0941208359 Reassigns benefits to 2 organizations
I20250902002902 TX Practitioner - Nurse Practitioner 0941208359 Reassigns benefits to 1 organization
I20250903003783 CO Practitioner - Nurse Practitioner 0941208359 Reassigns benefits to 1 organization
I20250906000560 WA Practitioner - Nurse Practitioner 0941208359 Reassigns benefits to 3 organizations
I20250906000690 NV Practitioner - Nurse Practitioner 0941208359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Practice addresses (Care Compare)

103 Hospital Loop NE
Albuquerque, NM 87109-2115
Phone (212) 734-6621

1390 N Poplar Fork Rd
Hurricane, WV 25526-7112
Phone (212) 734-6621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183075GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalcare Health Services PC Nurse Practitioner CurrentSince Aug 20, 2025 Accepting new patients
Dr Rebman BH LLC CurrentSince Dec 25, 2025 Accepting new patients
Dr Medical Services PC CurrentSince May 19, 2025 Accepting new patients
Vitalcare Medical Services PA Nurse Practitioner PastSince Aug 25, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

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

4685 Baseline Rd
Boulder, CO 80303
Phone (303) 439-2259

103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300

2850 Ruby Vista Dr
Elko, NV 89801
Phone (775) 753-3727

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

207 E Parkerville Rd
Desoto, TX 75115
Phone (385) 454-5027

3742 W 2150 N
Ste 150
Lehi, UT 84048
Phone (385) 205-6486

1100 E Nelson Rd
Moses Lake, WA 98837
Phone (509) 765-6788

801 SE Park Crest Ave
Vancouver, WA 98683
Phone (360) 253-2879

1390 N Poplar Fork Rd
Hurricane, WV 25526
Phone (304) 757-7826

Organizations & group practices 7

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": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1871699348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9706 N FOUR PEAKS WAY",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852686561",
            "telephone_number": "404-453-8558",
            "fax_number": "470-201-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15333 N PIMA RD STE 305",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602717",
            "telephone_number": "480-805-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL-MEKOBA",
        "first_name": "CARMEN",
        "middle_name": "SHAVON",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "183075",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP11117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.