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

Vincent P Ekstrom, DNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1124644794

Vincent P Ekstrom, DNP is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Mind 247 Practice LLC, a 32-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.

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Practice location Address checks out

18628 N 43rd St
Phoenix, AZ 85050-3342
Phone: (602) 489-9606
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 242271 (AZ)

Record details

NPI number1124644794
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP
Sole proprietorNo
NPI enumeratedJune 19, 2020
Last updated in NPPESMarch 18, 2024
Certification dateMarch 18, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Mind 247 Practice Llc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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