Shad Mortensen, DO
NPI 1568217644 · Student in an Organized Health Care Education/Training Program · Phoenix, AZ
Shad Mortensen, DO is a Student in an Organized Health Care Education/Training Program provider in Phoenix, AZ (NPI 1568217644).
Provider details
- NPI number
- 1568217644
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 3100 N Central AvePhoenix, AZ 85012-2637Phone: (435) 695-4017
- 2800 E Ajo WayTucson, AZ 85713-6204Phone: (520) 874-2000
- 1625 N Campbell AveTucson, AZ 85719-4330Phone: (520) 694-0111
Registry dates
- Enumerated
- 2024-04-22
- Last updated
- 2025-05-29
- Certified
- 2025-05-29
Frequently asked questions
- What is Shad Mortensen's NPI number?
- Shad Mortensen's National Provider Identifier (NPI) is 1568217644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shad Mortensen's specialty?
- Shad Mortensen is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Shad Mortensen located?
- Shad Mortensen's practice location on file with NPPES is 2601 E Roosevelt St, Phoenix, AZ 85008-4973.
- What is Shad Mortensen's phone number?
- The practice phone number listed in the NPPES registry for Shad Mortensen is (435) 695-4017.
- Is Shad Mortensen's NPI active?
- Yes — Shad Mortensen's NPI (1568217644) is active in the NPPES registry as of the last update on 2025-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.