Individual provider Active NPI

Maria Guadalupe Nunez, CNP

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1053077479
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
266623 Issued in AZ
Practice address
2145 W 28TH St Ste B
Yuma, AZ 85364-1219
Phone
(928) 328-8338
Fax
(928) 328-8339
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 266623 AZ Primary

Addresses

Primary practice location

2145 W 28TH St Ste B
Yuma, AZ 85364-1219

Mailing address

8475 E Hartford Dr Ste 201
Scottsdale, AZ 85255-5477
Phone (480) 591-9345

Other identifiers 1

IdentifierTypeStateIssuer
120218MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@ciccenters.com Direct

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
I20220606001138 AZ Practitioner - Nurse Practitioner 4183002074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Red Sea Heart Center PLCGroup PAC ID 8123111465, 3 clinicians

Practice addresses (Care Compare)

610 W Catalina Dr
Yuma, AZ 85364-8011
Phone (928) 344-9300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
46.39 of 100Reported as group
Quality
9.27
Promoting interoperability
93
Improvement activities
0
Cost
59.59

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Red Sea Heart Center PLC CurrentSince Feb 20, 2025 Accepting new patients
Comprehensive Interventional Care Centers, PLLC CurrentSince Apr 25, 2022 Accepting new patients
Comprehensive Interventional Care Centers, PLLC CurrentSince Apr 25, 2022 Accepting new patients

Locations

6301 S McClintock Dr
Ste 115
Tempe, AZ 85283
Phone (480) 775-8460

2145 W 28th St
Ste B
Yuma, AZ 85364
Phone (928) 328-8338

610 W Catalina Dr
Yuma, AZ 85364
Phone (928) 344-9300

2145 W 28th St
Ste Ab
Yuma, AZ 85364

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFHDAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DFHDAA/Endpoint/DFHDAA

Organizations & group practices 3

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 1

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": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1053077479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8475 E HARTFORD DR STE 201",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852555477",
            "telephone_number": "480-591-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 W 28TH ST STE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641219",
            "telephone_number": "928-328-8338",
            "fax_number": "928-328-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "266623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120218",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@ciccenters.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2145 W 28th St Ste B",
            "city": "Yuma",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853641219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.