Individual provider Active NPI

Elsa Diaz Porter, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1114701539
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
291232 Issued in AZ
Practice address
2601 S Houghton Rd
Tucson, AZ 85730-1525
Phone
(520) 751-8523
NPI assigned
Aug 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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 291232 AZ Primary

Addresses

Primary practice location

2601 S Houghton Rd
Tucson, AZ 85730-1525

Mailing address

2601 S Houghton Rd
Tucson, AZ 85730-1525
Phone (520) 751-8523

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
I20231027002735 AZ Practitioner - Nurse Practitioner 0244686186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic LLCGroup PAC ID 6709850241, 576 clinicians

Practice addresses (Care Compare)

2601 S Houghton Rd
Tucson, AZ 85730-1525
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
77.37 of 100Reported as group
Quality
74
Improvement activities
40
Cost
72.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Sep 20, 2023 Accepting new patients

Locations

28138 N Tatum Blvd
Cave Creek, AZ 85331
Phone (480) 585-6097

2601 S Houghton Rd
Tucson, AZ 85730
Phone (520) 591-9348

10650 N Oracle Rd
Tucson, AZ 85737
Phone (520) 544-5544

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

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": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1114701539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301525",
            "telephone_number": "520-751-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 S HOUGHTON RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301525",
            "telephone_number": "520-751-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "ELSA",
        "middle_name": "DIAZ",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "291232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.