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

Individual provider Family Nurse Practitioner · NPI 1417497066

Nicole Barth, FNP-C is a Nurse Practitioner in Surprise, Arizona. Qualified in 2016, 10 years ago. Practices with Leading Healthcare Clinic of Goodyear, LLC, a 10-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2017
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

12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021
Phone: (623) 227-1000
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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 AP9877 (AZ)

Record details

NPI number1417497066
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMarch 1, 2017
Last updated in NPPESMarch 1, 2017

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Leading Healthcare Clinic Of Goodyear, Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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