NPIMap

Individual provider Active NPI

Mishaun Frances Newman, FNP-C

  • Family Nurse Practitioner
  • Bullhead City, AZ
National Provider Identifier
1174897557
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4380 Issued in AZ
Practice address
3640 Hwy 95 Suite 100 Bullhead City Az 86442
3640 Hwy 95 Suite 100 Bullhead City Az 86442
Bullhead City, AZ 86442-8199
Phone
(928) 224-5557
Fax
(928) 224-5558
NPI assigned
Mar 1, 2012
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 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 AP4380 AZ Primary

Addresses

Primary practice location

3640 Hwy 95 Suite 100 Bullhead City Az 86442
3640 Hwy 95 Suite 100 Bullhead City Az 86442
Bullhead City, AZ 86442-8199

Mailing address

2865 Grandhill Rd Ste 100
Bullhead City, AZ 86442-8512
Phone (702) 339-7688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150709003086 AZ Practitioner - Nurse Practitioner 3779895321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paragon Physical Therapy and Rehab LLCGroup PAC ID 4284902339, 87 clinicians

Practice addresses (Care Compare)

2585 Miracle Mile
Suite 107
Bullhead City, AZ 86442-7522

3640 Hway
95 Suite 100
Bullhead City, AZ 86442-4336

3640 Hwy 95
Suite 100
Bullhead City, AZ 86442-4336
Phone (928) 224-5557

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.83 of 100Reported as individual
Quality
73.83
Improvement activities
40
Cost
74.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP4380AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mishaun PLLC CurrentSince Jun 1, 2023 Accepting new patients
Vanhorn Healthcare PLLC CurrentSince Jan 1, 2021 Accepting new patients
PBW Optometry PC PastSince Nov 19, 2023 Accepting new patients

Locations

2580 Highway 95
Ste 201
Bullhead City, AZ 86442
Phone (928) 201-1189

3640 Highway 95
Ste 100
Bullhead City, AZ 86442
Phone (928) 224-5557

Interoperability endpoints

  • Direct secure messaging: mishaun.newman.1@29092.direct.athenahealth.com

Organizations & group practices 4

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 5

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1174897557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 GRANDHILL RD STE 100",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428512",
            "telephone_number": "702-339-7688",
            "fax_number": "928-444-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 HWY 95 SUITE 100 BULLHEAD CITY AZ 86442",
            "address_2": "3640 HWY 95 SUITE 100 BULLHEAD CITY AZ 86442",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864428199",
            "telephone_number": "928-224-5557",
            "fax_number": "928-224-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MISHAUN",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.