Individual provider Active NPI

Nicole Angeli Garcia Calma

  • Family Nurse Practitioner
  • Sun City, AZ
National Provider Identifier
1043894512
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
257226 Issued in AZ
Practice address
10249 W Thunderbird Blvd Ste 100
Sun City, AZ 85351-3113
Phone
(623) 972-1151
NPI assigned
May 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 257226 AZ Primary

Addresses

Primary practice location

10249 W Thunderbird Blvd Ste 100
Sun City, AZ 85351-3113

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 954-7500

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
I20210528001890 AZ Practitioner - Nurse Practitioner 2668871328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Phoenix Collaborative Care PCGroup PAC ID 0941503304, 111 clinicians
BHSM Rehabilitation LLCGroup PAC ID 2062773138, 450 clinicians

Practice addresses (Care Compare)

10249 W Thunderbird Blvd
Suite 100
Sun City, AZ 85351-3113
Phone (702) 480-2550

25101 N Lake Pleasant Pkwy
Suite B 1340
Peoria, AZ 85383-1386
Phone (602) 610-6866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC Multi-Specialty CurrentSince Oct 16, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC Multi-Specialty CurrentSince Oct 16, 2023 Accepting new patients
4C Medical Group PLC CurrentSince May 24, 2021 Accepting new patients
4C Medical Group PLC Multi-Specialty Current Accepting new patients

Locations

16838 E Palisades Blvd
Ste C153
Fountain Hls, AZ 85268
Phone (480) 445-9199

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

10249 W Thunderbird Blvd
Ste 100
Sun City, AZ 85351
Phone (623) 249-5617

15021 W Bell Rd
Surprise, AZ 85374
Phone (602) 246-5506

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

Interoperability endpoints

  • Direct secure messaging: nicole.calma@mspi-az.direct.office.nextgen.com
  • Direct secure messaging: ncalma113413@westdirect.optum.com

Organizations & group practices 4

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": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1043894512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "702-954-7500",
            "fax_number": "702-266-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10249 W THUNDERBIRD BLVD STE 100",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853513113",
            "telephone_number": "623-972-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALMA",
        "first_name": "NICOLE ANGELI",
        "middle_name": "GARCIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "257226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.