Individual provider Active NPI

Andrew Jason Wood, FNP-BC

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1902308042
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10590 Issued in AZ
Practice address
4539 N 22ND St Ste R
Phoenix, AZ 85016-4639
Phone
(480) 214-4466
NPI assigned
Mar 5, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10590 AZ Primary

Addresses

Primary practice location

4539 N 22ND St Ste R
Phoenix, AZ 85016-4639

Mailing address

PO Box 51524
Mesa, AZ 85208-0077

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
I20180420001332 AZ Practitioner - Nurse Practitioner 4981967114 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

35945 N Gary Rd
San Tan Valley, AZ 85143-5748
Phone (480) 827-5750

7171 S 51St Ave
Laveen, AZ 85339-2923
Phone (888) 732-3317

Merit-based Incentive Payment System (MIPS)

Final score
83.21 of 100Reported as group
Quality
77.66
Promoting interoperability
100
Improvement activities
40
Cost
66.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP10590AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Urgent Care Services, LLC CurrentSince Apr 1, 2018 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Honorhealth Urgent Care, LLC Family Medicine CurrentSince Dec 31, 2023 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Oct 26, 2022 Accepting new patients
Honorhealth Urgent Care, LLC CurrentSince Dec 31, 2023 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Apr 1, 2018 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince Apr 1, 2018 Accepting new patients
Honorhealth-Fastmed Ambulatory Holdings LLC Past Accepting new patients

Locations (25 of 49)

3648 W Anthem Way
Bldg A100C
Anthem, AZ 85086
Phone (623) 434-6444

11685 W Van Buren St
Avondale, AZ 85323
Phone (623) 465-6420

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

3200 S Gilbert Rd
Chandler, AZ 85286
Phone (480) 471-6404

2950 S Alma School Rd
Ste 1
Chandler, AZ 85286
Phone (480) 821-2028

3000 N Arizona Ave
Chandler, AZ 85225
Phone (480) 355-1575

3126 S Higley Rd
Ste 109
Gilbert, AZ 85295
Phone (480) 436-8102

1641 E Guadalupe Rd
Gilbert, AZ 85234
Phone (480) 813-4233

641 W Warner Rd
Gilbert, AZ 85233
Phone (480) 722-9828

1355 S Higley Rd
Ste 104
Gilbert, AZ 85296
Phone (480) 499-0201

3160 E Queen Creek Rd
Gilbert, AZ 85297
Phone (480) 827-5790

1660 N Higley Rd
Ste 104
Gilbert, AZ 85234
Phone (480) 827-5600

7952 N 43rd Ave
Glendale, AZ 85301
Phone (623) 465-6330

4232 W Bell Rd
Glendale, AZ 85308
Phone (602) 639-4535

6702 W Bethany Home Rd
Ste 1315
Glendale, AZ 85303
Phone (623) 435-7000

3328 N Litchfield Rd
Goodyear, AZ 85395
Phone (623) 239-0394

16430 W Yuma Rd
Goodyear, AZ 85338
Phone (623) 465-6405

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

407 N Lindsay Rd
Ste 103
Mesa, AZ 85213
Phone (480) 807-0084

1120 S Gilbert Rd
Mesa, AZ 85204
Phone (480) 558-5278

1157 S Crismon Rd
Ste 101
Mesa, AZ 85208
Phone (480) 827-5730

1908 E McKellips Rd
Mesa, AZ 85203
Phone (480) 827-5610

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

9130 E Elliot Rd
Mesa, AZ 85212
Phone (480) 410-4500

1215 S Higley Rd
Mesa, AZ 85206
Phone (480) 218-4022

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.

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1902308042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51524",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852080077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE R",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "480-214-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "ANDREW",
        "middle_name": "JASON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-05",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.