Active NPI
Michael Thomas Doering, FNP-C
- Family Nurse Practitioner
- Surprise, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP4861
- Practice address
- 15510 W Bell Rd
Surprise, AZ 85374-3436 - Phone
- (480) 717-4903
- Fax
- (480) 717-4904
- NPI assigned
- Apr 3, 2013
- Sex
- Male
- 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 | AP4861 | AZ | Primary |
Addresses
Primary practice location
15510 W Bell Rd
Surprise, AZ 85374-3436
Mailing address
2620 Elm Hill Pike
Nashville, TN 37214-3108
Phone (615) 425-4200
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, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1300 S Watson Rd
Buckeye, AZ 85326-6303
Phone (623) 241-5322
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.28 of 100
- Quality
- 69.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.66
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP4861 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Little Clinic of Arizona LLC | Family | Current | Accepting new patients |
Locations
1575 N Dysart Rd
Avondale, AZ 85392
Phone (623) 687-9883
1300 S Watson Rd
Buckeye, AZ 85326
Phone (623) 241-5322
2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386
15510 W Bell Rd
Surprise, AZ 85374
Phone (480) 717-4903
2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211
Organizations & group practices 1
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.
-
- Family Nurse Practitioner
- Buckeye, AZ
- NPI 1023216249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1982947461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 ELM HILL PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143108",
"telephone_number": "615-425-4200",
"fax_number": "615-425-4268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15510 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853743436",
"telephone_number": "480-717-4903",
"fax_number": "480-717-4904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERING",
"first_name": "MICHAEL",
"middle_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-03",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP4861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.