Individual provider Active NPI

Michelle Ann Cambern, FNP-C

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1134613938
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
219809 Issued in AZ
Practice address
350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone
(520) 873-3000
NPI assigned
Jun 15, 2018
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 219809 AZ Primary
Family Nurse Practitioner 363LF0000X CAPN0101820CNP CO
Family Nurse Practitioner 363LF0000X APRN11033277 FL
Family Nurse Practitioner 363LF0000X 14039411-4405 UT
Family Nurse Practitioner 363LF0000X AP61581069 WA
Emergency Registered Nurse 163WE0003X RN098743 AZ

Addresses

Primary practice location

350 N Wilmot Rd
Tucson, AZ 85711-2602

Mailing address

16053 W Wilshire Dr
Goodyear, AZ 85395-7603
Phone (602) 430-0425

Other practice location 1

350 E 400 S Ste 220
Salt Lake City, UT 84111-2993
Phone (888) 803-3370

Other practice location 2

555 Andover Park W Ste 200
Tukwila, WA 98188-3379
Phone (888) 803-3370

Other practice location 3

16053 W Wilshire Dr
Goodyear, AZ 85395-7603
Phone (602) 430-0425

Other practice location 4

9700 N 91st St Ste A115
Scottsdale, AZ 85258-5036
Phone (888) 803-3370

Other names 1

  • Michelle Ann Popoff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, CA, CO4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20190222000857 AZ Practitioner - Nurse Practitioner 1951640705 Reassigns benefits to 5 organizations
I20251028002076 WA Practitioner - Nurse Practitioner 1951640705 Reassigns benefits to 1 organization
I20260127002056 CA Practitioner - Nurse Practitioner 1951640705 Reassigns benefits to 1 organization
I20260508003868 CO Practitioner - Nurse Practitioner 1951640705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner Urgent Care Services LLCGroup PAC ID 4284921610, 207 clinicians

Practice addresses (Care Compare)

10330 N Scottsdale Rd
Suite 25
Scottsdale, AZ 85253-1427
Phone (602) 255-7625

11685 W Van Buren St
Avondale, AZ 85323-6904
Phone (623) 465-6420

13901 W Meeker Blvd
Sun City West, AZ 85375-4475
Phone (623) 465-6435

15521 W Bell Rd
Surprise, AZ 85374-3437
Phone (623) 465-6390

21980 N 83Rd Ave
Peoria, AZ 85383-1850
Phone (623) 465-6375

7611 W Cactus Rd
Peoria, AZ 85381-5203
Phone (623) 465-6315

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CAPN0101820CNPCOMDFamily Nurse Practitioner
APRN11033277FLMDFamily Nurse Practitioner
14039411-4405UTMDFamily Nurse Practitioner
AP61581069WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Aug 12, 2019 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Jun 17, 2026 Accepting new patients
Circle Medical Care of California CurrentSince Oct 12, 2025 Accepting new patients
Banner Urgent Care Arizona LLC CurrentSince May 1, 2022 Accepting new patients
Banner Urgent Care Arizona LLC Current Accepting new patients
Banner Urgent Care Services, LLC CurrentSince May 1, 2022 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Nurse Practitioner CurrentSince Feb 15, 2019 Accepting new patients
Cep America-Arizona LLP CurrentSince Oct 10, 2024 Accepting new patients
Banner Urgent Care Services, LLC CurrentSince May 1, 2022 Accepting new patients
Banner Urgent Care Services, LLC Current Accepting new patients
Circle Medical Care Group PA CurrentSince Aug 14, 2025 Accepting new patients
Circle Medical Care Group PA Past Accepting new patients

Locations (25 of 60)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

1676 E McMurray Blvd
Ste 1
Casa Grande, AZ 85122
Phone (520) 316-0688

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

1155 W Ocotillo Rd
Ste 4
Chandler, AZ 85248
Phone (480) 374-7400

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

399 S Malpais Ln
Ste 100
Flagstaff, AZ 86001
Phone (928) 286-8830

6343 S Higley Rd
Gilbert, AZ 85298
Phone (480) 748-2712

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

5410 W Thunderbird Rd
Ste 101
Glendale, AZ 85306
Phone (602) 530-6189

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

17688 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 889-6823

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

1121 S Gilbert Rd
Ste 101
Mesa, AZ 85204
Phone (480) 644-9355

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

298 W Mariposa Rd
Ste 2
Nogales, AZ 85621
Phone (520) 394-7388

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

1 N Central Ave
Ste 105
Phoenix, AZ 85004
Phone (602) 255-7520

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

1940 W Glendale Ave
Phoenix, AZ 85021
Phone (602) 255-7690

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1134613938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16053 W WILSHIRE DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957603",
            "telephone_number": "602-430-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112602",
            "telephone_number": "520-873-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 E 400 S Ste 220",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841112993",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 Andover Park W Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981883379",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16053 W Wilshire Dr",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853957603",
            "country_code": "US",
            "telephone_number": "602-430-0425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9700 N 91st St Ste A115",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852585036",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMBERN",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "219809",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "CAPN0101820CNP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033277",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "14039411-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61581069",
            "primary": false
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN098743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "POPOFF",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.