Active NPI
Anto N Vukancic, FNP
- Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP4837
- Practice address
- 2302 N 75TH Ave
Phoenix, AZ 85035-1216 - Phone
- (800) 233-3264
- Fax
- (623) 849-7785
- NPI assigned
- Mar 29, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP4837 | AZ | Primary |
Addresses
Primary practice location
2302 N 75TH Ave
Phoenix, AZ 85035-1216
Mailing address
25500 N Norterra Dr
Phoenix, AZ 85085-8200
Phone (623) 277-1130
Other practice location 1
5891 W Eugie Ave
Glendale, AZ 85304-1252
Phone (800) 233-3264
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130603000428 | AZ | Practitioner - Nurse Practitioner | 6608014667 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP4837 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Health Care of Arizona Inc. | Current | Accepting new patients | |
| Cigna Healthcare of Arizona, Inc. | Current | Accepting new patients |
Locations
1717 W Chandler Blvd
Chandler, AZ 85224
Phone (480) 281-7565
5891 W Eugie Ave
Glendale, AZ 85304
Phone (602) 588-6600
9069 W Thunderbird Rd
Peoria, AZ 85381
Phone (623) 876-2800
21731 N 77th Ave
Ste 1300
Peoria, AZ 85382
Phone (623) 561-3300
1300 N 12th St
Ste 404
Phoenix, AZ 85006
Phone (602) 839-7000
3805 E Bell Rd
Ste 2100
Phoenix, AZ 85032
Phone (602) 404-5200
2302 N 75th Ave
Phoenix, AZ 85035
Phone (623) 849-7500
25500 N Norterra Dr
Phoenix, AZ 85085
Phone (602) 328-8400
8888 E Raintree Dr
Ste 300
Scottsdale, AZ 85260
Phone (602) 328-8400
8888 E Raintree Dr
Fl 3
Scottsdale, AZ 85260
13991 W Grand Ave
Ste 105
Surprise, AZ 85374
Phone (623) 455-7800
1920 E Baseline Rd
Tempe, AZ 85283
Phone (480) 345-5000
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.
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1245338235
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1619048048
-
- Multi-Specialty Clinic/Center
- Tempe, AZ
- NPI 1649341298
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1942371679
-
- Multi-Specialty Clinic/Center
- Peoria, AZ
- NPI 1730417676
-
- Multi-Specialty Clinic/Center
- Goodyear, AZ
- NPI 1760718621
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1093058950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25500 N NORTERRA DR",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850858200",
"telephone_number": "623-277-1130",
"fax_number": "866-837-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 N 75TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850351216",
"telephone_number": "800-233-3264",
"fax_number": "623-849-7785"
}
],
"practiceLocations": [
{
"address_1": "5891 W Eugie Ave",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853041252",
"country_code": "US",
"telephone_number": "800-233-3264",
"fax_number": "602-588-6636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VUKANCIC",
"first_name": "ANTO",
"middle_name": "N",
"name_prefix": "Mr.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-29",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP4837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.