Individual provider Active NPI

Sandra Pullen, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1053895706
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP11785 Issued in AZ
Practice address
1871 W Orange Grove Rd Ste 101
Tucson, AZ 85704-1289
Phone
(520) 219-8342
NPI assigned
Sep 19, 2018
Last updated
Sep 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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 AP11785 AZ Primary

Addresses

Primary practice location

1871 W Orange Grove Rd Ste 101
Tucson, AZ 85704-1289

Mailing address

1871 W Orange Grove Rd Ste 101
Tucson, AZ 85704-1289
Phone (520) 219-8342

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sandra.pullen.1@1576.direct.athenahealth.com

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
I20190204002507 AZ Practitioner - Nurse Practitioner 5597002287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

1871 W Orange Grove Rd
Tucson, AZ 85704-1289

8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Oct 15, 2018 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Oct 15, 2018 Accepting new patients

Locations

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

1871 W Orange Grove Rd
Tucson, AZ 85704
Phone (520) 229-9600

1871 W Orange Grove Rd
Ste 101
Tucson, AZ 85704
Phone (520) 219-8342

4001 E Sunrise Dr
Ste 161
Tucson, AZ 85718
Phone (520) 232-5280

6060 N Fountain Plaza Dr
Ste 270
Tucson, AZ 85704
Phone (520) 229-2578

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

Interoperability endpoints

  • Direct secure messaging: sandra.pullen.1@1576.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1053895706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 W ORANGE GROVE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041289",
            "telephone_number": "520-219-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 W ORANGE GROVE RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041289",
            "telephone_number": "520-219-8342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLEN",
        "first_name": "SANDRA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP11785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandra.pullen.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR",
            "address_1": "1871 W Orange Grove Rd Ste 101",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857041289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.