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

Jeremy Ficken, NP-C

Individual provider Family Nurse Practitioner · NPI 1699164202

Jeremy Ficken, NP-C is a Nurse Practitioner in Goodyear, Arizona. Qualified in 2015, 11 years ago. Practices with Banner Urgent Care Services LLC, a 205-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona and California.

Years since qualifying
11
Licensed in
AZ, CA
In the registry since
2015
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

750 N Estrella Pkwy Ste 40
Goodyear, AZ 85338-9272
Phone: (623) 889-3477
Fax: (623) 889-3478
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 147824 (AZ)
Ambulatory Family Planning Facility Taxonomy 261QA0005X · Licence 583861 (CA)
Ambulatory Family Planning Facility Taxonomy 261QA0005X · Licence 147824 (AZ)

Record details

NPI number1699164202
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-C
Sole proprietorYes
NPI enumeratedJanuary 20, 2015
Last updated in NPPESApril 7, 2015

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 Banner Urgent Care Services Llc — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Goodyear