Individual provider Active NPI

Anne M Elliott, PA

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1003864141
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1995 Issued in AZ
Practice address
7566 N la Cholla Blvd
Suite a
Tucson, AZ 85741-2307
Phone
(520) 742-4139
Fax
(520) 742-3010
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1995 AZ Primary

Addresses

Primary practice location

7566 N la Cholla Blvd
Suite a
Tucson, AZ 85741-2307

Mailing address

7566 N la Cholla Blvd
Suite a
Tucson, AZ 85741-2307
Phone (520) 742-4139

Other identifiers 1

IdentifierTypeStateIssuer
979982MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215000588 AZ Practitioner - Physician Assistant 6406808799 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1995AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Jan 1, 2014 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jan 2, 2018 Accepting new patients
Northwest Rancho Vistoso Imaging Services LLC Past Accepting new patients
TLC Healthcare Wound Specialists Inc PastSince May 20, 2011 Accepting new patients
Northwest Hospital LLC Physician Assistant Past Accepting new patients
Arizona Community Physician PC Past Accepting new patients

Locations (25 of 27)

16825 N 63rd Ave
Glendale, AZ 85306
Phone (602) 732-3400

1100 E Monroe St
Globe, AZ 85501
Phone (480) 815-7074

1300 E South St
Globe, AZ 85501
Phone (928) 425-3118

150 N La Canada Dr
Green Valley, AZ 85614
Phone (520) 230-4532

1295 W Duval Mine Rd
Ste 131
Green Valley, AZ 85614
Phone (520) 399-2027

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

1880 E Van Buren St
Phoenix, AZ 85006
Phone (602) 253-4570

2305 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 458-1050

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

1313 W Magee Rd
Tucson, AZ 85704
Phone (520) 797-2600

13101 N Oracle Rd
Ste 169
Tucson, AZ 85739
Phone (520) 615-6200

3705 N Swan Rd
Tucson, AZ 85718
Phone (520) 298-3800

1925 W Orange Grove Rd
Ste 307
Tucson, AZ 85704
Phone (520) 742-0414

3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000

13101 N Oracle Rd
Tucson, AZ 85739
Phone (520) 320-7999

5545 E Lee St
Tucson, AZ 85712
Phone (520) 296-2306

2221 N Rosemont Blvd
Tucson, AZ 85712
Phone (520) 881-2323

4001 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 209-7000

2001 N Park Ave
Tucson, AZ 85719
Phone (520) 882-3558

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

8333 N Silverbell Rd
Tucson, AZ 85743
Phone (520) 202-7700

10120 E Old Vail Rd
Ste 100
Tucson, AZ 85747
Phone (520) 989-8012

2900 E Milber St
Tucson, AZ 85714
Phone (520) 294-0005

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350259200000",
    "number": "1003864141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7566 N LA CHOLLA BLVD",
            "address_2": "SUITE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412307",
            "telephone_number": "520-742-4139",
            "fax_number": "520-742-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7566 N LA CHOLLA BLVD",
            "address_2": "SUITE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412307",
            "telephone_number": "520-742-4139",
            "fax_number": "520-742-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "1995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "979982",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.