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

Jann M Ford Petersen, NP

Individual provider Nurse Practitioner · NPI 1710357355

Jann M Ford Petersen, NP is a Nurse Practitioner in Mesa, Arizona. Qualified in 2015, 11 years ago. Practices with Summit Medical Group Arizona LLC, a 153-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
Specialties on file
3
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

3624 N Power Rd
Mesa, AZ 85215-9733
Phone: (602) 755-0800
Fax: (602) 560-2721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 83 N Amber Ct, Chandler, AZ 85225-5726 — (480) 267-9802
  • 19303 N New Tradition Rd, Sun City West, AZ 85375-3806 — (623) 624-8280

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN8132 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence AP8132 (AZ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP8132 (AZ)

Record details

NPI number1710357355
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 25, 2015
Last updated in NPPESJune 15, 2023
Certification dateJune 15, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Summit Medical Group Arizona Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Mesa