Individual provider Active NPI

Mika Naranjo, RN, NP

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1114524279
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
254611 Issued in AZ
Practice address
11142 S Scottsdale Dr
Yuma, AZ 85367-5616
Phone
(928) 336-1815
NPI assigned
Oct 2, 2020
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 254611 AZ Primary

Addresses

Primary practice location

11142 S Scottsdale Dr
Yuma, AZ 85367-5616

Mailing address

2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 344-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV, NM3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210312002177 AZ Practitioner - Nurse Practitioner 7517373798 Reassigns benefits to 2 organizations
I20241126000955 NV Practitioner - Nurse Practitioner 7517373798 Reassigns benefits to 1 organization
I20250428002567 NM Practitioner - Nurse Practitioner 7517373798 Reassigns benefits to 1 organization

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
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2500 S 8TH Ave
Suite 200
Yuma, AZ 85364-7108
Phone (928) 336-7095

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Apr 13, 2021 Accepting new patients
Adobe Provider Group CurrentSince Jun 22, 2023 Accepting new patients
Adobe PH PC CurrentSince Nov 20, 2024 Accepting new patients
Yuma Regional Medical Center PastSince Apr 13, 2021 Accepting new patients

Locations

7500 N Dreamy Draw Dr
Ste 100
Phoenix, AZ 85020
Phone (520) 233-7111

7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111

11142 S Scottsdale Dr
Yuma, AZ 85367
Phone (928) 336-1815

11351 S Frontage Rd
Yuma, AZ 85367
Phone (928) 336-2000

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

2500 S 8th Ave
Ste 200
Yuma, AZ 85364
Phone (928) 336-7095

100 Sun Ave NE
Ste 650
Albuquerque, NM 87109
Phone (505) 260-4300

7251 W Lake Mead Blvd
Ste 300
Las Vegas, NV 89128
Phone (702) 562-4096

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1114524279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11142 S SCOTTSDALE DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853675616",
            "telephone_number": "928-336-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARANJO",
        "first_name": "MIKA",
        "credential": "RN, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "254611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.