Individual provider Active NPI

Patricia Dupont, FNP

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1942747431
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9672 Issued in AZ
Practice address
765 S Lindsay Rd
Gilbert, AZ 85296-3063
Phone
(480) 635-0118
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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 AP9672 AZ Primary

Addresses

Primary practice location

765 S Lindsay Rd
Gilbert, AZ 85296-3063

Mailing address

765 S Lindsay Rd
Gilbert, AZ 85296-3063
Phone (480) 635-0118

Other practice location 1

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

Other names 1

  • Patricia Fenelon Former name

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
I20170224000707 AZ Practitioner - Nurse Practitioner 7214211937 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona CVS Stores LLC CurrentSince Apr 9, 2024 Accepting new patients
Nextcare Arizona LLC CurrentSince Dec 8, 2021 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Leading Healthcare Clinic of Goodyear LLC Family PastSince Feb 1, 2025 Accepting new patients
Leading Healthcare, LLC Past Accepting new patients

Locations

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

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

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

765 S Lindsay Rd
Gilbert, AZ 85296
Phone (480) 635-0113

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

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

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

Organizations & group practices 6

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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1942747431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 S LINDSAY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963063",
            "telephone_number": "480-635-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 S LINDSAY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963063",
            "telephone_number": "480-635-0118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35945 N Gary Rd",
            "address_purpose": "LOCATION",
            "city": "San Tan Valley",
            "state": "AZ",
            "postal_code": "851435748",
            "country_code": "US",
            "telephone_number": "480-827-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "PATRICIA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "FENELON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.