Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nathan Tirrell, PA-C

Individual provider Physician Assistant · NPI 1780358440

Nathan Tirrell, PA-C is a Physician Assistant in Surprise, Arizona. Qualified in 2021, 5 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

13995 W Statler Blvd Ste 200
Surprise, AZ 85374-5503
Phone: (623) 478-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1780358440
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 5, 2021
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing address13995 W Statler Blvd Ste 200, Surprise, AZ 85374-5503

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Surprise