Individual provider Active NPI

Lynette A Ancharski, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1194158998
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5101 Issued in AZ
Practice address
1396 N Wilmot Rd
Tucson, AZ 85712
Phone
(520) 324-2160
Fax
(520) 324-1460
NPI assigned
Aug 15, 2013
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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 AP5101 AZ Primary

Addresses

Primary practice location

1396 N Wilmot Rd
Tucson, AZ 85712

Mailing address

PO Box 31235
Tucson, AZ 85751-1235
Phone (520) 324-4780

Other identifiers 1

IdentifierTypeStateIssuer
854833MedicaidAZ

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
I20131112000750 AZ Practitioner - Nurse Practitioner 1052547510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Urgent CareGroup PAC ID 7416295688, 13 clinicians

Practice addresses (Care Compare)

2424 N Wyatt Dr
Suite 140
Tucson, AZ 85712-6119
Phone (520) 324-4690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP5101AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Urgent Care CurrentSince Feb 17, 2020 Accepting new patients
TMC Medical Network CurrentSince Jan 1, 2018 Accepting new patients

Locations

1396 N Wilmot Rd
Tucson, AZ 85712
Phone (520) 324-2160

2380 N Ferguson Ave
Ste 104
Tucson, AZ 85712
Phone (520) 324-1010

2424 N Wyatt Dr
Ste 140
Tucson, AZ 85712
Phone (520) 324-4690

4881 E Grant Rd
Ste 201
Tucson, AZ 85712
Phone (520) 324-2414

70 N Harrison Rd
Tucson, AZ 85748
Phone (520) 324-4403

Organizations & group practices 2

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 1

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": "1376524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1194158998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31235",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857511235",
            "telephone_number": "520-324-4780",
            "fax_number": "520-324-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1396 N WILMOT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-324-2160",
            "fax_number": "520-324-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCHARSKI",
        "first_name": "LYNETTE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-15",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854833",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.