Active NPI
Deanna Fussy, FNP
- Family Nurse Practitioner
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 248196
- Practice address
- 18700 N 64TH Dr Ste 301
Glendale, AZ 85308-7114 - Phone
- (602) 841-0741
- Fax
- (623) 455-5087
- NPI assigned
- Oct 1, 2020
- Last updated
- Sep 5, 2025
- 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 | 248196 | AZ | Primary |
Addresses
Primary practice location
18700 N 64TH Dr Ste 301
Glendale, AZ 85308-7114
Mailing address
18700 N 64TH Dr Ste 301
Glendale, AZ 85308-7114
Phone (602) 841-0741
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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
519 Rose LN
Wickenburg, AZ 85390-1448
Phone (602) 952-0002
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248196 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Heart, PLLC | Current | Accepting new patients | |
| Phoenix Heart, PLLC | Family | Current | Accepting new patients |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients | |
| VHS Outpatient Clinics, Inc. | Current | Accepting new patients |
Locations
19251 E Oasis Dr
Black Cyn Cty, AZ 85324
Phone (602) 298-7777
18700 N 64th Dr
Ste 201
Glendale, AZ 85308
Phone (602) 699-6272
18700 N 64th Dr
Ste 301
Glendale, AZ 85308
Phone (602) 841-0741
18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000
5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306
Phone (602) 298-7777
5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039
708 S Coeur D Alene Ln
Ste 100
Payson, AZ 85541
Phone (928) 472-7440
41818 N Venture Dr
Ste 110
Phoenix, AZ 85086
Phone (602) 298-7777
14815 W Bell Rd
Ste 104
Surprise, AZ 85374
Phone (623) 266-1041
519 Rose Ln
Wickenburg, AZ 85390
Phone (844) 888-0408
811 N Tegner St
Ste 113
Wickenburg, AZ 85390
Interoperability endpoints
- deanna.kraemer.1@600.direct.athenahealth.com
- https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Abrazo Medical Group
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1912979964
-
- Cardiac Rehabilitation Registered Nurse
- Glendale, AZ
- NPI 1578396982
-
dba Arizona Sports Medicine Center (ASMC)
- Durable Medical Equipment & Medical Supplies
- Scottsdale, AZ
- NPI 1891302790
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Wickenburg Community Hospital
- Critical Access Hospital
- Wickenburg, AZ
- NPI 1841282852
-
dba Abrazo Arrowhead Campus
- General Acute Care Hospital
- Glendale, AZ
- NPI 1326022765
-
dba Abrazo Peoria Emergency Center
- General Acute Care Hospital
- Peoria, AZ
- NPI 1801340781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757030400000",
"number": "1972100097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18700 N 64TH DR STE 301",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087114",
"telephone_number": "602-841-0741",
"fax_number": "623-455-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18700 N 64TH DR STE 301",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087114",
"telephone_number": "602-841-0741",
"fax_number": "623-455-5087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUSSY",
"first_name": "DEANNA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2025-09-05",
"certification_date": "2025-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "248196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.