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

Thomas J Pemberton

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1528600012

Thomas J Pemberton is a Nurse Practitioner in Tempe, Arizona. Qualified in 2019, 7 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019

Practice location Address checks out

618 S Madison Dr
Tempe, AZ 85281-7248
Phone: (480) 784-1514
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0808X · Licence RN196326 (AZ)

Record details

NPI number1528600012
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2019
Last updated in NPPESJuly 28, 2020
Certification dateJuly 28, 2020
Mailing address11518 E Apache Trl Ste 129, Apache Junction, AZ 85120-3572

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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