Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mary Jane Wild Sorenson, FNP-C

Individual provider Family Nurse Practitioner · NPI 1851870919

Mrs. Mary Jane Wild Sorenson, FNP-C is a Nurse Practitioner in Show Low, Arizona. Qualified in 2018, 8 years ago. Practices with Premier Mountain Healthcare LLC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5300 S Sutter Dr Ste A
Show Low, AZ 85901-8054
Phone: (928) 251-4244
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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 AP11648 (AZ)

Record details

NPI number1851870919
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedAugust 9, 2018
Last updated in NPPESFebruary 7, 2024
Certification dateFebruary 7, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Premier Mountain Healthcare Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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