Individual provider Active NPI

Georgina Rotzler, DNP PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Sahuarita, AZ
National Provider Identifier
1174937379
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP8174 Issued in AZ
Practice address
1384 E Walker Springs PL
Sahuarita, AZ 85629-6609
Phone
(518) 538-4072
Fax
(404) 337-8178
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 02442 NM
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8174 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 40401710 NY

Addresses

Primary practice location

1384 E Walker Springs PL
Sahuarita, AZ 85629-6609

Mailing address

1384 E Walker Springs PL
Sahuarita, AZ 85629-6609
Phone (518) 538-4072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 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
I20140910001316 NM Practitioner - Nurse Practitioner 7214156074 Reassigns benefits to 2 organizations
I20160606001856 AZ Practitioner - Nurse Practitioner 7214156074 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Presbyterian Medical ServicesGroup PAC ID 2062324684, 132 clinicians

Practice addresses (Care Compare)

1001 W Broadway
Farmington, NM 87401-5638
Phone (505) 327-4796

1422 Paseo de Peralta
Santa Fe, NM 87501-4391
Phone (505) 982-5565

210 W Continental Rd
Suite 244a
Green Valley, AZ 85622-3596
Phone (520) 477-1180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02442NMMDPsychiatric/Mental Health Nurse Practitioner
40401710NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Intervention Associates, Inc. CurrentSince May 1, 2016 Accepting new patients
Presbyterian Medical Services CurrentSince Dec 10, 2018 Accepting new patients
Community Intervention Assciates, Inc CurrentSince May 1, 2016 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Krossroads Integrative Health and Recovery Solutions Inc CurrentSince Sep 21, 2022 Accepting new patients

Locations

1516 S Ocotillo Ave
Parker, AZ 85344
Phone (928) 669-5319

1773 W Saint Marys Rd
Ste 102
Tucson, AZ 85745
Phone (520) 622-8357

2851 S Avenue B
Bldg 4
Yuma, AZ 85364
Phone (928) 919-2436

400 Gold Ave SW
Albuquerque, NM 87102
Phone (505) 224-9124

400 Gold Ave SW
Ste 1300E
Albuquerque, NM 87102

721 5th St
Las Vegas, NM 87701
Phone (505) 425-1533

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

6 Calle Medico
Ste 1
Santa Fe, NM 87505
Phone (505) 273-4668

Organizations & group practices 6

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": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1174937379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1384 E WALKER SPRINGS PL",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856296609",
            "telephone_number": "518-538-4072",
            "fax_number": "404-337-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 E WALKER SPRINGS PL",
            "city": "SAHUARITA",
            "state": "AZ",
            "postal_code": "856296609",
            "telephone_number": "518-538-4072",
            "fax_number": "404-337-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTZLER",
        "first_name": "GEORGINA",
        "credential": "DNP PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NM",
            "license": "02442",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8174",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "40401710",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sahuarita, AZ

Sources for this page

Verify at the official NPI Registry.