Individual provider Active NPI

Anna Shaffer, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1073911517
Registry record updated Sep 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7510 Issued in AZ
Practice address
1200 N El Dorado PL Ste D480
Tucson, AZ 85715-4637
Phone
(520) 428-7178
NPI assigned
Dec 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2025

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 AP7510 AZ Primary

Addresses

Primary practice location

1200 N El Dorado PL Ste D480
Tucson, AZ 85715-4637

Mailing address

1200 N El Dorado PL Ste D480
Tucson, AZ 85715-4637
Phone (520) 428-7178

Other identifiers 1

IdentifierTypeStateIssuer
974118MedicaidAZ

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
I20150105000101 AZ Practitioner - Nurse Practitioner 2466775119 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7510AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Nov 27, 2015 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Arizona Total Care LLC PastSince Jun 23, 2025 Accepting new patients
Marana Health Center, Inc Past Accepting new patients
U2Rworthit1 LLC PastSince Oct 21, 2025 Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

1895 W Valencia Rd
Ste 101
Tucson, AZ 85746
Phone (520) 576-5104

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

4280 N Oracle Rd
Ste 100
Tucson, AZ 85705
Phone (520) 887-0095

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759017600000",
    "number": "1073911517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL STE D480",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154637",
            "telephone_number": "520-428-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EL DORADO PL STE D480",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857154637",
            "telephone_number": "520-428-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "ANNA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2025-09-28",
        "certification_date": "2025-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "974118",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.