Individual provider Active NPI

Adenike Andito Nkenge Durrant-Campbell

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1952087983
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
248699 Issued in AZ
Practice address
3712 W Northern Ave Apt 444
Phoenix, AZ 85051-9411
Phone
(404) 717-7521
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 248699 AZ Primary

Addresses

Primary practice location

3712 W Northern Ave Apt 444
Phoenix, AZ 85051-9411

Mailing address

PO Box 39196
Phoenix, AZ 85069-9196
Phone (404) 717-7521

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
I20260309001387 AZ Practitioner - Nurse Practitioner 8325521347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

1394 W 16TH St
Yuma, AZ 85364-4430
Phone (928) 539-0055

3931 E Camelback Rd
Phoenix, AZ 85018-2609
Phone (602) 687-7858

7425 E Shea Blvd
Suite 108
Scottsdale, AZ 85260-6411
Phone (480) 348-1060

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

State licenses

LicenseStateTypeSpecialty
248699AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona I JV LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

Organizations & group practices 1

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1952087983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39196",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850699196",
            "telephone_number": "404-717-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3712 W NORTHERN AVE APT 444",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519411",
            "telephone_number": "404-717-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURRANT-CAMPBELL",
        "first_name": "ADENIKE",
        "middle_name": "ANDITO NKENGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "248699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.