Individual provider Active NPI

Rosanna R Nicoletti, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1013927607
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42418 Issued in AZ
Practice address
6236 E Pima St Ste 100
Tucson, AZ 85712-3164
Phone
(520) 327-6874
Fax
(520) 327-0028
NPI assigned
Aug 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42418 AZ Primary

Addresses

Primary practice location

6236 E Pima St Ste 100
Tucson, AZ 85712-3164

Mailing address

4801 E Broadway Blvd Ste 251
Tucson, AZ 85711-2700
Phone (520) 327-0460

Other identifiers 1

IdentifierTypeStateIssuer
524508MedicaidAZ

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100715000935 AZ Practitioner - Family Practice 7315079043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona Community Physicians PCGroup PAC ID 4587560552, 162 clinicians

Practice addresses (Care Compare)

6236 E Pima St
Tucson, AZ 85712-3154
Phone (520) 327-6874

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42418AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Family Medicine CurrentSince Mar 1, 2024 Accepting new patients
Arizona Community Physician PC CurrentSince Mar 1, 2024 Accepting new patients

Locations

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

6236 E Pima St
Tucson, AZ 85712
Phone (520) 327-6874

6236 E Pima St
Ste 100
Tucson, AZ 85712
Phone (520) 327-6874

Interoperability endpoints

  • Direct secure messaging: rnicoletti20928@azacp.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1013927607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 E BROADWAY BLVD STE 251",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112700",
            "telephone_number": "520-327-0460",
            "fax_number": "520-795-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6236 E PIMA ST STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857123164",
            "telephone_number": "520-327-6874",
            "fax_number": "520-327-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLETTI",
        "first_name": "ROSANNA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "42418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "524508",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.