Individual provider Active NPI

Tanya Renee Minafee, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1124415773
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7793 Issued in AZ
Practice address
6044 S 16TH St Ste 180
Phoenix, AZ 85042-4472
Phone
(425) 243-3719
Fax
(844) 325-0677
NPI assigned
Apr 22, 2015
Last updated
Sep 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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 AP7793 AZ Primary

Addresses

Primary practice location

6044 S 16TH St Ste 180
Phoenix, AZ 85042-4472

Mailing address

PO Box 96770
Phoenix, AZ 85072-6770
Phone (425) 243-3719

Other practice location 1

4212 N 16th St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

Other practice location 2

1108 W Indian School Rd
Phoenix, AZ- ARIZONA 85013
UM
Phone (602) 773-5600

Other identifiers 2

IdentifierTypeStateIssuer
055773MedicaidAZ
Z180729OtherAZPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150813010372 AZ Practitioner - Nurse Practitioner 6800101361 Reassigns benefits to 2 organizations
I20230223001775 TX Practitioner - Nurse Practitioner 6800101361 Reassigns benefits to 2 organizations

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

Practice addresses (Care Compare)

4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200

483 W Seed Farm Rd
Hu Hu Kam Memorial Hosp
Sacaton, AZ 85147-0038
Phone (602) 528-1200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Oct 10, 2025 Accepting new patients
Allied Internal Medicine PLLC CurrentSince Nov 15, 2021 Accepting new patients
Corner Health Medical Group P a Family CurrentSince Sep 11, 2025 Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Oct 10, 2025 Accepting new patients
Gila River Health Care CurrentSince Jan 9, 2023 Accepting new patients
Gila River Health Care Corporation CurrentSince Jan 9, 2023 Accepting new patients
Del Lago Medical Inc Past Accepting new patients

Locations

2012 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 938-0700

6589 S Kings Ranch Rd
Ste D102
Gold Canyon, AZ 85118

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

215 S Power Rd
Mesa, AZ 85206
Phone (480) 945-7711

51 S 48th St
Mesa, AZ 85206
Phone (480) 832-8333

2 N Central Ave
Ste 1800
Phoenix, AZ 85004
Phone (425) 243-3719

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

6044 S 16th St
Ste 120
Phoenix, AZ 85042

6044 S 16th St
Ste 180
Phoenix, AZ 85042
Phone (623) 223-0302

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

Interoperability endpoints

  • Direct secure messaging: tanya.minafee.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: tanya.minafee@277236870545412.direct.elationemr.com

Organizations & group practices 9

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 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": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1124415773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 96770",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850726770",
            "telephone_number": "425-243-3719",
            "fax_number": "844-325-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 S 16TH ST STE 180",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850424472",
            "telephone_number": "425-243-3719",
            "fax_number": "844-325-0677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4212 N 16th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850165319",
            "country_code": "US",
            "telephone_number": "602-263-1200",
            "fax_number": "602-263-1619",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1108 W Indian School Rd",
            "address_purpose": "LOCATION",
            "city": "PHOENIX",
            "state": "AZ- ARIZONA",
            "postal_code": "85013",
            "country_code": "UM",
            "telephone_number": "602-773-5600",
            "fax_number": "602-773-5601",
            "country_name": "United States Minor Outlying Islands",
            "address_type": "FGN"
        }
    ],
    "basic": {
        "last_name": "MINAFEE",
        "first_name": "TANYA",
        "middle_name": "RENEE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055773",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "Z180729",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.