Active NPI
Joseph Charles Deboe, DNP, ACNPC-AG, CCRN
- Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP10864
- Practice address
- 3955 E Fort Lowell Rd
Ste 113
Tucson, AZ 85712-1041 - Phone
- (520) 323-7277
- Fax
- (520) 881-1968
- NPI assigned
- Mar 28, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP10864 | AZ | |
| Adult Health Nurse Practitioner | 363LA2200X | AP10864 | AZ | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | AP10864 | AZ | |
| Nurse Practitioner | 363L00000X | AP10864 | AZ | Primary |
Addresses
Primary practice location
3955 E Fort Lowell Rd
Ste 113
Tucson, AZ 85712-1041
Mailing address
3955 E Fort Lowell Rd
Ste 113
Tucson, AZ 85712-1041
Phone (520) 323-7277
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 |
|---|---|---|---|---|
| I20180130000683 | AZ | Practitioner - Nurse Practitioner | 9335409929 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3955 E Fort Lowell Rd
Suite 113
Tucson, AZ 85712-1049
Phone (602) 688-2248
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.81 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 79.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP10864 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Old Pueblo Cardiology PC | Current | Accepting new patients | |
| Livwell Health LLC | Current | Accepting new patients |
Locations
8541 E Anderson Dr
Ste 104
Scottsdale, AZ 85255
Phone (323) 351-4233
2001 W Orange Grove Rd
Ste 302
Tucson, AZ 85704
Phone (480) 282-6599
3955 E Fort Lowell Rd
Ste 113
Tucson, AZ 85712
Phone (520) 229-0085
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AAGHBA/Endpoint/AAGHBA
Organizations & group practices 2
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": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517184000000",
"number": "1104358407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3955 E FORT LOWELL RD",
"address_2": "STE 113",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121041",
"telephone_number": "520-323-7277",
"fax_number": "520-881-1968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 E FORT LOWELL RD",
"address_2": "STE 113",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857121041",
"telephone_number": "520-323-7277",
"fax_number": "520-881-1968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEBOE",
"first_name": "JOSEPH",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DNP, ACNPC-AG, CCRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-28",
"last_updated": "2018-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "AP10864",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "AZ",
"license": "AP10864",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "AZ",
"license": "AP10864",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP10864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.