John Kevin Ekman, FNP- C, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP1902 Issued in AZ

Practice address

624 W 8TH St
Safford, AZ 85546-2807

Phone

(928) 428-6554

Fax

(928) 428-7266

NPI assigned

Jul 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southeastern Arizona Behavioral Health Services, Inc.Group PAC ID 2860488368, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southeastern Arizona Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Benson, AZ
  • NPI 1760830137

  AZ

  Medicare reassignment Care Compare group NPD
• La Frontera Center, Inc.

  • Psychiatric Residential Treatment Facility
  • Tucson, AZ
  • NPI 1023119955

  AZ

  Medicare reassignment NPD
• Sierra Vista Regional Health Center Medical Group LLC

  • Family Medicine Physician
  • Sierra Vista, AZ
  • NPI 1043575483

  AZ

  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  AZ

  Medicare reassignment NPD
• Lafrontera Center Inc

  • Methadone Clinic
  • Tucson, AZ
  • NPI 1548361470
  NPD
• Southeastern Arizona Behavioral Health Service, Inc

  • Community/Behavioral Health Agency
  • Douglas, AZ
  • NPI 1932620390
  NPD
• Southeastern Arizona Behavioral Health Services

  • Community/Behavioral Health Agency
  • Clifton, AZ
  • NPI 1902993470
  NPD
• La Frontera Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1093810889
  NPD (past)
• La Frontera Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1932404225
  NPD (past)
• Lafrontera Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1023320751
  NPD (past)
• Lafrontera Center Inc.

  • Psychiatric Hospital Unit
  • Tucson, AZ
  • NPI 1073614905
  NPD (past)
• Southeastern Arizona Behavioral Health Services, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Sierra Vista, AZ
  • NPI 1467158865
  NPD (past)

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1194722256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 23RD ST.",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "85546",
            "telephone_number": "928-348-9602",
            "fax_number": "928-428-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W 8TH ST",
            "city": "SAFFORD",
            "state": "AZ",
            "postal_code": "855462807",
            "telephone_number": "928-428-6554",
            "fax_number": "928-428-7266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKMAN",
        "first_name": "JOHN",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "credential": "FNP- C, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1902",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP1902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "859655",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Draper, LPC
• DSW Enterprises Inc
• Alexander Eddo, PHAMD
• Eden Home Health of Safford, LLC
• Eden Hospice at Sierra Vista, LLC
• Kacey M Ekman, PNP
• Elkins ASC LLC
• Nicholas Elkins, D.O.
• Jeffrey Mark Erfe, MD
• Michael Evans, PA-C

• All providers in Safford, AZ
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.