Individual provider Active NPI

Daniel Collins

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1063127231
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
285738 Issued in AZ
Practice address
20414 N 27TH Ave FL 4
Phoenix, AZ 85027-3250
Phone
(952) 936-1300
NPI assigned
Jan 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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 285738 AZ Primary

Addresses

Primary practice location

20414 N 27TH Ave FL 4
Phoenix, AZ 85027-3250

Mailing address

20414 N 27TH Ave FL 4
Phoenix, AZ 85027-3250
Phone (952) 936-1300

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
I20240124003761 AZ Practitioner - Nurse Practitioner 3870946056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LHCG Ccii LLCGroup PAC ID 3870994437, 5 clinicians

Practice addresses (Care Compare)

7740 N Oracle Rd
Tucson, AZ 85704-6313
Phone (520) 537-2245

Hospital & facility affiliations

  • Assured Home Health Home health agency, Tucson, AZ, CCN 037447
  • Bayada Home Health Care, Inc Home health agency, Tucson, AZ, CCN 037213

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285738AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LHCG Clxxii, LLC Family CurrentSince Jan 13, 2025 Accepting new patients
LHCG Ccii LLC Family CurrentSince Jan 13, 2025 Accepting new patients

Locations

1840 S Stapley Dr
Ste 255B
Mesa, AZ 85204

1840 S Stapley Dr
Ste 225B
Mesa, AZ 85204
Phone (480) 801-2416

7740 N Oracle Rd
Tucson, AZ 85704
Phone (520) 537-2245

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 4

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1063127231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20414 N 27TH AVE FL 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273250",
            "telephone_number": "952-936-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20414 N 27TH AVE FL 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273250",
            "telephone_number": "952-936-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "DANIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-20",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "285738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.