Tawnie C Caracci, APN, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

227917 Issued in AZ

Practice address

1437 W. Auto Drive
Tempe, AZ 85284

Phone

(023) 622-9836

Fax

(855) 889-8024

NPI assigned

Dec 30, 2018

Last updated

Dec 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, AZ2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Healthcare Partners PLLCGroup PAC ID 2466824149, 25 clinicians

Metropolitan Gericare Associates PLLCGroup PAC ID 3577093657, 10 clinicians

Brook Park Medical Associates S CGroup PAC ID 3577704246, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

30 of 100Reported as individual

Quality

0

Promoting interoperability

0

Improvement activities

0

Cost

100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FABJBA/Endpoint/FABJBA

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.

• Brook Park Medical Associates S C

  • Internal Medicine Physician
  • River Forest, IL
  • NPI 1518302595
  Medicare reassignment Care Compare group NPD
• Metropolitan Gericare Associates PLLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1003631615
  Medicare reassignment Care Compare group NPD
• Metropolitan Healthcare Partners PLLC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1366167264
  Medicare reassignment Care Compare group NPD
• MD @ Home Illinois, SC

  dba Housecall Physicians of Illinois, SC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1568758415
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AZ, Nurse Practitioner

  Medicare reassignment NPD
• Osh-Il Physicians Group LLC

  • Primary Care Clinic/Center
  • East Saint Louis, IL
  • NPI 1265977698

  Nurse Practitioner

  NPD

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

{
    "created_epoch": "1546128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1093287187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 W. AUTO DRIVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85284",
            "telephone_number": "023-622-9836",
            "fax_number": "855-889-8024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022402",
            "country_code": "US",
            "telephone_number": "773-253-3933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "IL",
            "postal_code": "603022402",
            "country_code": "US",
            "telephone_number": "773-253-3933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARACCI",
        "first_name": "TAWNIE",
        "middle_name": "C",
        "credential": "APN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-30",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "227917",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.018703",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041383554",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "566542",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Canyon River, LLC (Blue Swan Pharmacy- Tempe)
• Canyon River, LLC (Blue Swan Pharmacy- Tempe)
• Jacci Arden Caplin, MSW, LCSW
• Elizabeth Capps-Conkle, PSY.D.
• Freddie Carabajal, ATC
• Kimberly Summer Caravone, N.M.D
• Samantha Carbajal
• Mariana Cardenas Landeros, RBT
• Carissa M Cardenas, BS, RBT
• Macy Carder, ND

• Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.

Verify at the official NPI Registry.