Individual provider Active NPI

Jennifer Lynn Vilders, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1962050930
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
309283 Issued in AZ
Practice address
8035 E Brown Rd
Mesa, AZ 85207-3901
Phone
(623) 295-1190
Fax
(602) 429-8595
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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 309283 AZ Primary

Addresses

Primary practice location

8035 E Brown Rd
Mesa, AZ 85207-3901

Mailing address

PO Box 163
Tempe, AZ 85280-0163
Phone (623) 295-1190

Other practice location 1

3811 E Bell Rd Ste 111
Phoenix, AZ 85032-2158
Phone (480) 985-1093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191017002915 SC Practitioner - Nurse Practitioner 0345571642 Reassigns benefits to 1 organization
I20241009004517 AZ Practitioner - Nurse Practitioner 0345571642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leading Healthcare Specialist PLLCGroup PAC ID 6002246352, 20 clinicians
Pain and Palliative Associates of ArizonaGroup PAC ID 9638408487, 24 clinicians

Practice addresses (Care Compare)

12622 E Victoria St
Chandler, AZ 85249-3748
Phone (623) 295-1190

3811 E Bell Rd
Suite 111
Phoenix, AZ 85032-2158
Phone (480) 985-1093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309283AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Medical Centers of Charleston Inc CurrentSince Sep 6, 2019 Accepting new patients
Pain and Palliative Associates of Arizona CurrentSince Sep 1, 2024 Accepting new patients
Valley Geriatric Associates PLLC CurrentSince Sep 1, 2024 Accepting new patients
Leading Healthcare Specialist PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

3011 S Lindsay Rd
Ste 115
Gilbert, AZ 85295
Phone (602) 249-8578

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

8035 E Brown Rd
Mesa, AZ 85207
Phone (480) 686-8540

4202 N 20th Ave
Phoenix, AZ 85015
Phone (602) 264-3824

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

3811 E Bell Rd
Ste 111
Phoenix, AZ 85032
Phone (602) 675-2585

2679 Lake Park Dr
North Charleston, SC 29406
Phone (803) 218-9886

9231 Medical Plaza Dr
Ste C
North Charleston, SC 29406
Phone (803) 218-9886

Organizations & group practices 4

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1962050930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852800163",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073901",
            "telephone_number": "623-295-1190",
            "fax_number": "602-429-8595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3811 E Bell Rd Ste 111",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850322158",
            "country_code": "US",
            "telephone_number": "480-985-1093",
            "fax_number": "480-296-7665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILDERS",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "309283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.