Individual provider Active NPI

Anto N Vukancic, FNP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1093058950
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP4837 Issued in AZ
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

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130603000428 AZ Practitioner - Nurse Practitioner 6608014667

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP4837AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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. CurrentSince May 8, 2018 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.

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

Verify at the official NPI Registry.