Individual provider Active NPI

Deanna Fussy, FNP

  • Family Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1972100097
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
248196 Issued in AZ
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, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201029000345 AZ Practitioner - Nurse Practitioner 7618387820 Reassigns benefits to 2 organizations

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
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

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

LicenseStateTypeSpecialty
248196AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Heart, PLLC CurrentSince Oct 12, 2020 Accepting new patients
Phoenix Heart, PLLC Family CurrentSince Oct 12, 2020 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 9, 2024 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Jan 9, 2024 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

  • Direct secure messaging: deanna.kraemer.1@600.direct.athenahealth.com
  • FHIR API: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.