Active NPI
Nancy Mucha, CNP
- Adult Health Nurse Practitioner
- Mesa, AZ
National Provider Identifier
1063814879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP7292
- Practice address
- 2843 N 89TH St
Mesa, AZ 85207-4278 - Phone
- (480) 396-3482
- NPI assigned
- Sep 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AP7292 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | AP7292 | AZ | Primary |
Addresses
Primary practice location
2843 N 89TH St
Mesa, AZ 85207-4278
Mailing address
201 W Guadalupe Rd
Ste 200
Gilbert, AZ 85233-3327
Phone (480) 219-6631
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
201 W Guadalupe Rd
Suite 200
Gilbert, AZ 85233-3327
Phone (480) 219-6631
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP7292 | AZ | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilbert Complete Medical Clinic LLC | Single Specialty | Current | Accepting new patients |
Locations
201 W Guadalupe Rd
Ste 200
Gilbert, AZ 85233
Phone (480) 219-6631
201 W Guadalupe Rd
Ste 201
Gilbert, AZ 85233
Phone (480) 782-7705
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1598324733
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1063814879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W GUADALUPE RD",
"address_2": "STE 200",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852333327",
"telephone_number": "480-219-6631",
"fax_number": "480-247-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2843 N 89TH ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852074278",
"telephone_number": "480-396-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUCHA",
"first_name": "NANCY",
"credential": "CNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-23",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "AZ",
"license": "AP7292",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP7292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.