Individual provider Active NPI

Steven Mlodzinski, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1124773478
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
270789 Issued in AZ
Practice address
7750 E Broadway Blvd Ste A100
Tucson, AZ 85710-3901
Phone
(520) 449-8555
NPI assigned
Feb 15, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 270789 AZ Primary

Addresses

Primary practice location

7750 E Broadway Blvd Ste A100
Tucson, AZ 85710-3901

Mailing address

11 E Orange Grove Rd Apt 1811
Tucson, AZ 85704-5554
Phone (860) 906-6446

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
I20220627002345 AZ Practitioner - Nurse Practitioner 5395124077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uhs of Tucson LLCGroup PAC ID 1456588144, 11 clinicians
Easter Seals Blake FoundationGroup PAC ID 9335302710, 20 clinicians

Practice addresses (Care Compare)

2695 N Craycroft Rd
Tucson, AZ 85712-2243
Phone (520) 322-2888

7750 E Broadway Blvd
Suite A100
Tucson, AZ 85710-3901
Phone (520) 327-1529

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270789AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Tucson LLC CurrentSince Oct 1, 2022 Accepting new patients
Uhs of Tucson LLC CurrentSince Oct 1, 2022 Accepting new patients
Easter Seals Blake Foundation CurrentSince Mar 9, 2022 Accepting new patients
Easter Seals Blake Foundation CurrentSince Mar 9, 2022 Accepting new patients
Easter Seals Blake Foundation Current Accepting new patients

Locations

900 E Florence Blvd
Ste A
Casa Grande, AZ 85122
Phone (520) 723-4429

6303 N 7TH St
Phoenix, AZ 85014

55 S 5th St
Sierra Vista, AZ 85635
Phone (520) 452-9784

55 S 5th St
Ste A200
Sierra Vista, AZ 85635

709 N Allred Ln
Ste 104105
Thatcher, AZ 85552

4653 E Pima St
Tucson, AZ 85712
Phone (520) 326-6182

7756 E Broadway Blvd
Ste C100
Tucson, AZ 85710
Phone 52032715297108

7750 E Broadway Blvd
Ste A100
Tucson, AZ 85710
Phone (520) 310-5425

7750 E Broadway Blvd
Ste A200
Tucson, AZ 85710

2695 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 322-2888

310 S Meyer Ave
Tucson, AZ 85701
Phone (520) 209-2492

3860 W 24th St
Ste 201
Yuma, AZ 85364

3860 W 24th St
Ste 201214
Yuma, AZ 85364
Phone (928) 276-9225

Organizations & group practices 5

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": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1124773478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 E ORANGE GROVE RD APT 1811",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045554",
            "telephone_number": "860-906-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 E BROADWAY BLVD STE A100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857103901",
            "telephone_number": "520-449-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MLODZINSKI",
        "first_name": "STEVEN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "270789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.