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JAMES L PRIDGEN III MSN, FNP-C
NPI 1770074676
Nurse Practitioner in Phoenix, AZ

Active since May 25, 2018PECOS Enrolled
20601 N 19TH AVE STE 130, PHOENIX, AZ 85027(877) 564-3627 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2022, Jul 3, 2018, May 25, 2018 (3 updates tracked since 2018).

About James L Pridgen Iii Msn, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES L PRIDGEN III MSN, FNP-C (NPI 1770074676) is an individual nurse practitioner in Phoenix, Arizona, licensed in Georgia (RN176595) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1770074676
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJAMES L PRIDGEN IIICredential: MSN, FNP-C
Location Address20601 N 19TH AVE STE 130Phoenix, AZ 85027-3587
Mailing Address20601 N 19th Ave Ste 130Phoenix, AZ 85027-3587 · (877) 564-3627
Phone(877) 564-3627
Sole ProprietorNo
Enumeration DateMay 25, 2018
Last NPPES UpdateJanuary 28, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2025
✔ NPI 1770074676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN176595
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
20601 N 19TH AVE STE 130, Phoenix, AZ 85027
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Secondary Practice Location 1

Location 11035 Vineville StColumbus, GA 31904-6532 · Phone (877) 564-3627

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

James L Pridgen Iii Msn, Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85027 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH SHERYL COOPER NP
Nurse Practitioner
20601 N 19TH AVE STE 130
PHOENIX, AZ 85027
Maricopa County (877) 564-3627
MATRIX MEDICAL DATA PROCESSING LLC
Nurse Practitioner
20601 N 19TH AVE STE 130
PHOENIX, AZ 85027
Maricopa County (877) 564-3627
MRS. ANGELITA CRYSTAL ZECHMAN FNP-BC
Nurse Practitioner (Family)
20601 N 19TH AVE STE 130
PHOENIX, AZ 85027
Maricopa County (480) 862-1700
MATRIX MEDICAL DATA PROCESSING LLC
Nurse Practitioner
20601 N 19TH AVE STE 130
PHOENIX, AZ 85027
Maricopa County (877) 564-3627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Pridgen's NPI number?

The NPI number for James Pridgen is 1770074676. It was assigned to this individual provider in the NPPES registry on May 25, 2018.

Where is James Pridgen located?

James Pridgen practices at 20601 N 19th Ave Ste 130, Phoenix, AZ 85027. The listed phone number is (877) 564-3627.

What is James Pridgen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is James Pridgen enrolled in Medicare?

Yes. James Pridgen is registered in the Medicare PECOS enrollment system.

What insurance does James Pridgen accept?

Health plans from CareSource list James Pridgen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Pridgen was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.