Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Smith

Individual provider Nurse Practitioner · NPI 1811861214

Elizabeth Smith is a Nurse Practitioner in Surprise, Arizona. Qualified in 2025, 1 year ago. Practices with Mountain Park Health Center, a 121-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025

Practice location Address checks out

16982 W Bradford Way
Surprise, AZ 85374-1836
Phone: (719) 355-4150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 328305 (AZ)

Record details

NPI number1811861214
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025
Mailing address16982 W Bradford Way, Surprise, AZ 85374-1836

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mountain Park Health Center — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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