Individual provider Active NPI

Mary Storts, AG-ACNP

  • Nurse Practitioner
  • Avondale, AZ
National Provider Identifier
1952958472
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
231250 Issued in AZ
Practice address
10815 W McDowell Rd Ste 202
Avondale, AZ 85392-5010
Phone
(623) 433-0202
Fax
(602) 433-0204
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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 231250 AZ Primary

Addresses

Primary practice location

10815 W McDowell Rd Ste 202
Avondale, AZ 85392-5010

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3848

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
I20191011002336 AZ Practitioner - Nurse Practitioner 8921339508 Reassigns benefits to 3 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

Practice addresses (Care Compare)

255 N Central Blvd
Suite 5
Quartzsite, AZ 85346-0835
Phone (928) 927-6105

4951 S White Mountain Rd
BLDG a
Show Low, AZ 85901-7801
Phone (928) 537-6700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231250AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Healthcare Medical Associates Nurse Practitioner CurrentSince Jan 1, 2020 Accepting new patients
Summit Healthcare Medical Associates CurrentSince Jan 1, 2020 Accepting new patients
La Paz Regional Hospital, Inc. CurrentSince Sep 27, 2021 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince Oct 7, 2019 Accepting new patients
La Paz Regional Hospital Inc Current Accepting new patients
La Paz Regional Hospital Inc CurrentSince Sep 27, 2021 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince Oct 7, 2019 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients
Summit Healthcare Association Past Accepting new patients

Locations

10815 W McDowell Rd
Ste 2
Avondale, AZ 85392

10815 W McDowell Rd
Ste 20220
Avondale, AZ 85392

10815 W McDowell Rd
Ste 205
Avondale, AZ 85392
Phone (623) 848-3295

10815 W McDowell Rd
Ste 203
Avondale, AZ 85392
Phone (623) 907-4400

10815 W McDowell Rd
Ste 304
Avondale, AZ 85392
Phone (623) 433-0155

10815 W McDowell Rd
Ste 204
Avondale, AZ 85392
Phone (623) 433-0100

10815 W McDowell Rd
Ste 202
Avondale, AZ 85392

10815 W McDowell Rd
Avondale, AZ 85392
Phone (623) 433-0199

5601 W Eugie Ave
Ste 203
Glendale, AZ 85304
Phone (602) 548-1600

14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190

4540 E Baseline Rd
Ste 114
Mesa, AZ 85206
Phone (480) 497-2229

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

111 W Cedar Ln
Ste A
Payson, AZ 85541
Phone (928) 472-4675

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

3815 E Bell Rd
Ste 3200
Phoenix, AZ 85032
Phone (480) 840-1754

500 W Thomas Rd
Ste 460
Phoenix, AZ 85013
Phone (602) 824-4155

3815 E Bell Rd
Ste 3300
Phoenix, AZ 85032
Phone (602) 867-2505

3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689

1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358

3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838

4951 S White Mountain Rd
Bldg A
Show Low, AZ 85901
Phone (928) 537-6700

14670 N Del Webb Blvd
Sun City, AZ 85351
Phone (602) 633-3824

16928 W Bell Rd
Ste 702
Surprise, AZ 85374

Interoperability endpoints

  • Direct secure messaging: mary.storts.2@33227.direct.athenahealth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1952958472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 E BELL RD STE 4500",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322171",
            "telephone_number": "602-633-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10815 W MCDOWELL RD STE 202",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925010",
            "telephone_number": "623-433-0202",
            "fax_number": "602-433-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STORTS",
        "first_name": "MARY",
        "credential": "AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "231250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.