Individual provider Active NPI

Joseph Charles Deboe, DNP, ACNPC-AG, CCRN

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1104358407
Registry record updated Jan 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP10864 Issued in AZ
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

Updated by the provider on Jan 29, 2018

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

Specialties & licenses 4

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
Livwell Health LLCGroup PAC ID 1052738440, 9 clinicians
Old Pueblo Cardiology PCGroup PAC ID 2668553843, 4 clinicians

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 100Reported as group
Quality
100
Improvement activities
40
Cost
79.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10864AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Old Pueblo Cardiology PC CurrentSince Jan 1, 2018 Accepting new patients
Livwell Health LLC CurrentSince May 1, 2023 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

  • FHIR API: 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

Verify at the official NPI Registry.