Jennifer Solomon, AGNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

239721 Issued in AZ

Practice address

365 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9368

Phone

(928) 459-2121

NPI assigned

Jan 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Orthopedics and Sports MedicineGroup PAC ID 6507350337, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Anderson Orthopedics & Sports Medicine

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lake Havasu City, AZ
  • NPI 1457235798

  Adult Health

  Medicare reassignment Care Compare group NPD
• Century Health Care NP LLC

  • Adult Health Nurse Practitioner
  • Surprise, AZ
  • NPI 1952964660
  NPD
• Concierge Health LLC

  • Adult Health Nurse Practitioner
  • Lake Havasu City, AZ
  • NPI 1851144901
  NPD
• Lakeside Orthopedic Institute LLC

  • Orthopaedic Surgery Physician
  • Lake Havasu City, AZ
  • NPI 1275564916
  NPD
• Lakeside Orthopedic Institute LLC

  • Diagnostic Radiology Physician
  • Lake Havasu City, AZ
  • NPI 1528870243
  NPD
• Lakeside Orthopedic Institute LLC

  • Urgent Care Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1972373710
  NPD
• Advance Physical Therapy & Rehab LLC

  • Physical Therapist
  • Lake Havasu City, AZ
  • NPI 1568314565
  NPD (past)
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1912769944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LAKE HAVASU AVE S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039368",
            "telephone_number": "928-459-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LAKE HAVASU AVE S",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864039368",
            "telephone_number": "928-459-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "JENNIFER",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-25",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "239721",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "239721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smiths Food & Drug Centers Inc
• Siena Snedeker, CPT
• Monica Ann Snell, PTA
• Breanna Snyder
• Tania Nicole Sobchuk, O.D.
• Somewhere Out of the Box
• Catherine Evelyn Sondrol, MOTRL
• Edouard Sorkin, DDS
• Southwest Behavioral Health Services, Inc.
• Southwest Ear, Nose & Throat, PLLC

• Adult Health Nurse Practitioner in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.

Verify at the official NPI Registry.