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

Jung Baccam, FNP

Individual provider Family Nurse Practitioner · NPI 1891495131

Jung Baccam, FNP is a Nurse Practitioner in Surprise, Arizona. Qualified in 2022, 4 years ago. Practices with Prescott Healthcare Solutions LLC, a 199-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021
Phone: (623) 227-1000
Fax: (623) 227-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7725 N 43rd Ave Ste 510, Phoenix, AZ 85051-5771 — (623) 207-5465
  • 16928 W Bell Rd Ste 701, Surprise, AZ 85374-8948 — (623) 850-0026

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 290121 (AZ)

Record details

NPI number1891495131
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Prescott Healthcare Solutions Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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