Individual provider Active NPI

Eva Socorro Mijares, FNP

  • Family Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1073943825
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5336 Issued in AZ
Practice address
410 E MC 85
Buckeye, AZ 85326
Phone
(602) 363-3438
Fax
(602) 584-3677
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN128794 AZ
Family Nurse Practitioner 363LF0000X AP5336 AZ Primary

Addresses

Primary practice location

410 E MC 85
Buckeye, AZ 85326

Mailing address

1216 S 111TH Dr Unit 1087
Cashion, AZ 85329-7074
Phone (602) 399-3941

Other practice location 1

1940 W Indian School Rd Ste 1
Phoenix, AZ 85015-5112
Phone (602) 782-1880

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
I20150724011029 AZ Practitioner - Nurse Practitioner 1355654971 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

Practice addresses (Care Compare)

1940 W Indian School Rd
Suite 1
Phoenix, AZ 85015-5112
Phone (602) 782-1880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN128794AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Arizona PLLC Nurse Practitioner CurrentSince Apr 14, 2025 Accepting new patients
Sana Sana Healthcare LLC Family CurrentSince Mar 21, 2021 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Dec 16, 2024 Accepting new patients
Nextcare Arizona LLC CurrentSince Mar 7, 2016 Accepting new patients
Honorhealth Urgent Care, LLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

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

183 W Apache Trl
Ste B109
Apache Junction, AZ 85120
Phone (480) 618-0945

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

1216 S 111th Dr
Unit 1087
Cashion, AZ 85329

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

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

2850 E Main St
Ste 106
Mesa, AZ 85213
Phone (480) 618-0019

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

1940 W Indian School Rd
Ste 1
Phoenix, AZ 85015
Phone (602) 782-1880

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

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

5369 S Calle Santa Cruz
Ste 145
Tucson, AZ 85706
Phone (520) 573-7500

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

3820 N Oracle Rd
Tucson, AZ 85705
Phone (520) 200-6707

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

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1073943825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 S 111TH DR UNIT 1087",
            "city": "CASHION",
            "state": "AZ",
            "postal_code": "853297074",
            "telephone_number": "602-399-3941",
            "fax_number": "602-584-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MC 85",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "85326",
            "telephone_number": "602-363-3438",
            "fax_number": "602-584-3677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 W Indian School Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850155112",
            "country_code": "US",
            "telephone_number": "602-782-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIJARES",
        "first_name": "EVA",
        "middle_name": "SOCORRO",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN128794",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.