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

Mrs. Mary Ohm, ACNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1972242113

Mrs. Mary Ohm, ACNP-BC is a Nurse Practitioner in Prescott, Arizona. Qualified in 2022, 4 years ago. Practices with Yavapai Regional Medical Center Physician Care LLC, a 119-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

1001 Willow Creek Rd Ste 2200
Prescott, AZ 86301-1614
Phone: (928) 445-6025
Fax: (928) 778-3026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 275091 (AZ)

Record details

NPI number1972242113
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorYes
NPI enumeratedJune 3, 2022
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 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 Yavapai Regional Medical Center Physician Care Llc — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Prescott