Individual provider Active NPI

Shawn Jones, FNP

  • Family Nurse Practitioner
  • Flagstaff, AZ
National Provider Identifier
1891264974
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220069 Issued in AZ
Practice address
1600 W University Ave Ste 112
Flagstaff, AZ 86001-3154
Phone
(928) 220-6363
NPI assigned
Nov 18, 2018
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN180153 AZ
Nurse Practitioner 363L00000X 220069 AZ
Family Nurse Practitioner 363LF0000X 220069 AZ Primary
Nurse Practitioner 363L00000X 201810869NP-PP OR

Addresses

Primary practice location

1600 W University Ave Ste 112
Flagstaff, AZ 86001-3154

Mailing address

1600 W University Ave Ste 112
Flagstaff, AZ 86001-3154
Phone (928) 220-6363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AZ2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20190315001994 OR Practitioner - Nurse Practitioner 2567702285 Reassigns benefits to 1 organization
I20210805002365 AZ Practitioner - Nurse Practitioner 2567702285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1600 W University Ave
Suite 112
Flagstaff, AZ 86001-3154
Phone (928) 224-8452

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
65.27 of 100Reported as group
Quality
45.09
Improvement activities
40
Cost
66.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220069AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Healthcare, Inc. Current Accepting new patients
North Country Healthcare, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Mend Health Solutions LLC CurrentSince Feb 18, 2025 Accepting new patients
North Country Healthcare, Inc. CurrentSince Aug 1, 2021 Accepting new patients
Icco, LLC Current Accepting new patients
Icco, LLC CurrentSince Apr 30, 2022 Accepting new patients
North Country Healthcare, Inc. Current Accepting new patients
Icco LLC CurrentSince Apr 30, 2022 Accepting new patients
Dispatchhealth-Arizona CurrentSince Jul 1, 2022 Accepting new patients
Dispatchhealth-Arizona CurrentSince Jul 1, 2022 Accepting new patients

Locations

1120 W University Ave
Flagstaff, AZ 86001
Phone (928) 212-5761

1501 S Yale St
Ste 252
Flagstaff, AZ 86001
Phone (928) 774-1811

1600 W University Ave
Ste 112
Flagstaff, AZ 86001
Phone (928) 223-4823

2187 N Vickey St
Ste 2
Flagstaff, AZ 86004
Phone (928) 527-1899

2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100

2109 Navajo Blvd
Holbrook, AZ 86025
Phone (928) 213-6100

1510 N Stockton Hill Rd
Kingman, AZ 86401
Phone (928) 753-1177

3505 Western Ave
Ste B
Kingman, AZ 86409
Phone (928) 692-0849

2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800

126 E Main St
Ste B
Payson, AZ 85541
Phone (928) 472-3700

4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444

2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300

488 S Mountain Ave
Springerville, AZ 85938
Phone (928) 333-0127

300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441

620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700

1800 Coburg Rd
Eugene, OR 97401
Phone (541) 342-1632

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

Interoperability endpoints

  • Direct secure messaging: shawn.jones.1@32576.direct.athenahealth.com
  • Direct secure messaging: sjones402873@direct.peacehealth.org

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1542499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1891264974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY AVE STE 112",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013154",
            "telephone_number": "928-220-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W UNIVERSITY AVE STE 112",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013154",
            "telephone_number": "928-220-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHAWN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-18",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN180153",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "220069",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "220069",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "201810869NP-PP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.