Active NPI
Joel Phillip Medrano
- Adult Health Nurse Practitioner
- Avondale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP11637
- Practice address
- 1665 N Avondale Blvd
Avondale, AZ 85392-5006 - Phone
- (602) 933-1000
- NPI assigned
- Aug 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP11637 | AZ | Primary |
| Nurse Practitioner | 363L00000X | TAP11637 | AZ |
Addresses
Primary practice location
1665 N Avondale Blvd
Avondale, AZ 85392-5006
Mailing address
20508 W Daniel PL
Buckeye, AZ 85396-3649
Phone (714) 659-1969
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
Enrollment records 1
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
Practice addresses (Care Compare)
13840 W Camelback Rd
Suite 10
Litchfield Park, AZ 85340-3084
Phone (602) 853-4057
3931 E Camelback Rd
Phoenix, AZ 85018-2609
Phone (602) 687-7858
914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382
9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226
9745 W Bell Rd
Suite 105
Sun City, AZ 85351-1371
Phone (623) 742-2999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TAP11637 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Children'S Medical Group | Single Specialty | Current | Accepting new patients |
| Phoenix Children'S Medical Group | Single Specialty | Current | Accepting new patients |
| Signify Health, LLC | Single Specialty | Current | Accepting new patients |
| Phoenix Children'S Hospital | Single Specialty | Current | Accepting new patients |
Locations
1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005
2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246
19007 N 67th Ave
Glendale, AZ 85308
Phone (602) 933-0777
9319 E Cadence Pkwy
Mesa, AZ 85212
Phone (602) 933-3400
5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437
3200 E Camelback Rd
Ste 250
Phoenix, AZ 85018
Phone (602) 933-1814
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
Single Specialty
-
- Multi-Specialty Clinic/Center
- Glendale, AZ
- NPI 1679703441
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773964800000",
"number": "1942789367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20508 W DANIEL PL",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853963649",
"telephone_number": "714-659-1969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1665 N AVONDALE BLVD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853925006",
"telephone_number": "602-933-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEDRANO",
"first_name": "JOEL",
"middle_name": "PHILLIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-07",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP11637",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "TAP11637",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.