MR. JAMES EDWARD CONKLE JR. N.P.
NPI 1861709537
Nurse Practitioner - Family in Goodyear, AZ

Active since September 01, 2010PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
13471 W CORNERSTONE BLVD, GOODYEAR, AZ 85395(480) 964-2273(623) 213-8808 Get Directions Write a Review

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 13, 2021, Dec 29, 2020, Dec 8, 2020 and 4 more (7 updates tracked since 2017).

About Mr. James Edward Conkle Jr. N.p. NPPES

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

MR. JAMES EDWARD CONKLE JR. N.P. (NPI 1861709537) is an individual family provider in Goodyear, Arizona, licensed in Arizona (239878) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1861709537
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. JAMES EDWARD CONKLE JR.Credential: N.P.
Location Address13471 W CORNERSTONE BLVDGoodyear, AZ 85395-2713
Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (623) 583-3001 · Fax (623) 974-6721
Fax(623) 213-8808
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateSeptember 1, 2010
Last NPPES UpdateFebruary 20, 20247 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2024
✔ NPI 1861709537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 239878
13471 W CORNERSTONE BLVD, Goodyear, AZ 85395

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. James Edward Conkle Jr. N.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335311398
PECOS Enrollment IDI20111017000614, I20210104001758
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.

Medicare Billing Reassignments

3

Medicare enrollment records show James Conkle reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
13471 W CORNERSTONE BLVD
Goodyear, AZ 85395
  • Reassigned Medicare billing, Arizona enrollment
  • 234 clinicians in this Medicare group
Family
1300 S WATSON RD
Buckeye, AZ 85326
  • Reassigned Medicare billing, Arizona enrollment
  • 107 clinicians in this Medicare group
Primary Care
1049 WESTERN AVE
Chillicothe, OH 45601
  • Reassigned Medicare billing, Ohio enrollment
  • 212 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85395 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Behavior Technician
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Case Manager/Care Coordinator
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Nurse Practitioner (Psychiatric/Mental Health)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Nurse Practitioner (Women's Health)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Obstetrics & Gynecology
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Family Medicine
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Family Medicine
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395
Nurse Practitioner (Family)
13471 W CORNERSTONE BLVD
GOODYEAR, AZ 85395

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 Conkle's NPI number?

The NPI number for James Conkle is 1861709537. It was assigned to this individual provider in the NPPES registry on September 1, 2010.

Where is James Conkle located?

James Conkle practices at 13471 W Cornerstone Blvd, Goodyear, AZ 85395. The listed phone number is (480) 964-2273.

What is James Conkle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is James Conkle enrolled in Medicare?

Yes. James Conkle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for James Conkle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Conkle reassigns Medicare benefits to 3 organizations: Adelante Healthcare, Inc. (Goodyear, AZ), The Little Clinic Of Arizona LLC (Buckeye, AZ) and Hopewell Health Centers Inc (Chillicothe, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Conkle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Conkle accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Imperial Insurance Companies, Inc. and Oscar Health Plan, Inc. and 1 other insurer list James Conkle 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 Conkle was last updated on February 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.