Individual provider Active NPI

Christopher Neal, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1114308301
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7885 Issued in AZ
Practice address
9420 E Golf Links Road, Ste 108
PMB 284
Tucson, AZ 85730
Phone
(520) 447-7413
Fax
(520) 210-7422
NPI assigned
Jun 12, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN114556, AP7885 AZ
Family Nurse Practitioner 363LF0000X AP7885 AZ Primary

Addresses

Primary practice location

9420 E Golf Links Road, Ste 108
PMB 284
Tucson, AZ 85730

Mailing address

9420 E Golf Links Road, Ste 108
PMB 284
Tucson, AZ 85730
Phone (520) 447-7413

Other identifiers 1

IdentifierTypeStateIssuer
034061MedicaidAZ

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
I20150810000001 AZ Practitioner - Nurse Practitioner 5496069155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natrajan Enterprises PLLCGroup PAC ID 7618342114, 5 clinicians

Practice addresses (Care Compare)

4318 E Desert Oak TRL
Tucson, AZ 85718-6700
Phone (520) 447-7411

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Northwest Medical Center Hospital, Tucson, AZ, CCN 030085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP7885AZMDFamily Nurse Practitioner
RN114556, AP7885AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natrajan Enterprises, PLLC CurrentSince Jun 17, 2023 Accepting new patients
Community Medical Services Arizona-Private, LLC CurrentSince Apr 13, 2021 Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients
Behavioral Awareness Center, Inc PastSince Jan 21, 2024 Accepting new patients
Community Medical Services Arizona-Private, LLC PastSince Feb 1, 2021 Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients
Natrajan Investments PLLC PastSince Feb 19, 2023 Accepting new patients

Locations

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

9420 E Golf Links Rd
Ste 108
Tucson, AZ 85730
Phone (520) 390-3862

2250 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 232-1019

Organizations & group practices 8

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1114308301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9420 E GOLF LINKS ROAD, STE 108",
            "address_2": "PMB 284",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85730",
            "telephone_number": "520-447-7413",
            "fax_number": "520-210-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9420 E GOLF LINKS ROAD, STE 108",
            "address_2": "PMB 284",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85730",
            "telephone_number": "520-447-7413",
            "fax_number": "520-210-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "CHRISTOPHER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-12",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN114556, AP7885",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034061",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.