Individual provider Active NPI

Elicia Hinton

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1922644012
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235003 Issued in AZ
Practice address
3306 W Roosevelt St
Phoenix, AZ 85009-3404
Phone
(602) 889-9401
NPI assigned
Nov 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN201036 AZ
Family Nurse Practitioner 363LF0000X 235003 AZ Primary

Addresses

Primary practice location

3306 W Roosevelt St
Phoenix, AZ 85009-3404

Mailing address

3306 W Roosevelt St
Phoenix, AZ 85009-3404
Phone (602) 889-9401

Other identifiers 1

IdentifierTypeStateIssuer
008602MedicaidAZ

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
I20200827001637 AZ Practitioner - Nurse Practitioner 3971920562 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Tree Healthcare LLCGroup PAC ID 7517240567, 4 clinicians

Practice addresses (Care Compare)

7002 S Central Ave
Phoenix, AZ 85042-5423
Phone (602) 499-4221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN201036AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC CurrentSince Mar 3, 2024 Accepting new patients
Family Tree Healthcare LLC Family Medicine CurrentSince Dec 16, 2023 Accepting new patients
Happy Kids Pediatrics P.C. Family Medicine Current Accepting new patients
Nextcare Arizona LLC CurrentSince Jan 17, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Dec 1, 2025 Accepting new patients
Nextcare Urgent Care Past Accepting new patients
Equality Health at Home Inc Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

1033 N Arizona Ave
Chandler, AZ 85225
Phone (480) 300-4741

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

7650 S 59th Ave
Laveen, AZ 85339

1157 S Crismon Rd
Ste 102
Mesa, AZ 85208
Phone (480) 776-3790

1345 E Main St
Ste 103
Mesa, AZ 85203
Phone (480) 223-0290

7002 S Central Ave
Phoenix, AZ 85042
Phone (602) 276-4267

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

6036 N 19th Ave
Ste 206
Phoenix, AZ 85015
Phone (602) 242-6248

1311 E Thomas Rd
Phoenix, AZ 85014
Phone (602) 322-1315

6036 N 19th Ave
Phoenix, AZ 85015
Phone (602) 246-2079

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

2033 E Warner Rd
Ste 109
Tempe, AZ 85284
Phone (480) 820-5525

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: elicia.hinton.1@27229.direct.athenahealth.com

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": "1574467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1922644012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 W ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850093404",
            "telephone_number": "602-889-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 W ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850093404",
            "telephone_number": "602-889-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTON",
        "first_name": "ELICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN201036",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "235003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008602",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.