Candy Mungarro-Rubio, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

263479 Issued in AZ

Practice address

150 S Coronado Dr Ste 110
Sierra Vista, AZ 85635-6352

Phone

(520) 458-1787

NPI assigned

Sep 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology and Plastic Surgery of Arizona LLCGroup PAC ID 8820225238, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.06 of 100Reported as group

Quality

100

Promoting interoperability

100

Improvement activities

40

Cost

76.88

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cmungarrorubio@directaddress.net

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.

• Dermatology and Plastic Surgery of Arizona LLC

  • MOHS-Micrographic Surgery Physician
  • Sierra Vista, AZ
  • NPI 1649611476
  Medicare reassignment Care Compare group NPD
• Coronado Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Sierra Vista, AZ
  • NPI 1215489182
  NPD (past)

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1114697067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S CORONADO DR STE 110",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356352",
            "telephone_number": "520-458-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S CORONADO DR STE 110",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356352",
            "telephone_number": "520-458-1787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "698 E Wetmore Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857051752",
            "country_code": "US",
            "telephone_number": "520-207-3100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNGARRO-RUBIO",
        "first_name": "CANDY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN137264",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "263479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmungarrorubio@directaddress.net",
            "affiliation": "N",
            "address_1": "150 S Coronado Dr Ste 110",
            "city": "Sierra Vista",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856356352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lisa M Morrison, LCSW, CADC
• Kim Mosley, CNA
• Mountain View Family Care, PLLC
• Wendy Mueller
• Jim Munene, DIRECTOR
• Munich Healthcare
• Daniel James Munoz
• John Joseph Murphy
• Amy Elizabeth Murray, OTR
• Patricia Salvador Myers, PNP

• Family Nurse Practitioner in Sierra Vista, AZ
• Providers in Sierra Vista, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.