Active NPI
Jennifer Lynn Vilders, FNP
- Family Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 309283
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 309283 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Medical Centers of Charleston Inc | Current | Accepting new patients | |
| Pain and Palliative Associates of Arizona | Current | Accepting new patients | |
| Valley Geriatric Associates PLLC | Current | Accepting new patients | |
| Leading Healthcare Specialist PLLC | Current | 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.
-
- Internal Medicine Physician
- Peoria, AZ
- NPI 1497390561
-
- Pain Medicine Physician
- Phoenix, AZ
- NPI 1538723531
-
- Physical Medicine & Rehabilitation Physician
- North Charleston, SC
- NPI 1750820510
-
- Geriatric Medicine (Family Medicine) Physician
- Phoenix, AZ
- NPI 1063127306
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.