Individual provider Active NPI

Francisco Javier Carrillo, ACNP

  • Acute Care Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1215290267
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP4535 Issued in AZ
Practice address
5663 E Grant Rd
Tucson, AZ 85712-2211
Phone
(520) 336-9179
NPI assigned
Jun 22, 2012
Last updated
Oct 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP4535 AZ Primary

Addresses

Primary practice location

5663 E Grant Rd
Tucson, AZ 85712-2211

Mailing address

PO Box 43100
Tucson, AZ 85733-3100
Phone (520) 336-9179

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
I20120905000217 AZ Practitioner - Nurse Practitioner 6305093907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.68 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.9

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Medical Partners CurrentSince Jan 1, 2017 Accepting new patients
Pinnacle Healthcare, LLC CurrentSince Feb 1, 2016 Accepting new patients
Catalina Hospice PLLC PastSince Sep 20, 2020 Accepting new patients
Hospitalists of Arizona, Inc Past Accepting new patients
Rehab Solutions, LLC PastSince Mar 1, 2007 Accepting new patients
Agape Hospice & Palliative Care, LLC Past Accepting new patients

Locations

1700 E River Rd
Unit 65177
Tucson, AZ 85728
Phone (520) 635-9103

1785 E Skyline Dr
Ste 181
Tucson, AZ 85718
Phone (520) 433-4964

2001 N Park Ave
Tucson, AZ 85719
Phone (520) 882-3558

2675 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 260-0937

4729 E Sunrise Dr
Tucson, AZ 85718
Phone (520) 661-5125

5663 E Grant Rd
Tucson, AZ 85712
Phone (520) 433-4964

5830 E Pima St
Tucson, AZ 85712
Phone (520) 722-5515

6651 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 296-6100

6890 E Sunrise Dr
Ste 120
Tucson, AZ 85750
Phone (520) 408-4321

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, 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": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1215290267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857333100",
            "telephone_number": "520-336-9179",
            "fax_number": "520-615-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5663 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122211",
            "telephone_number": "520-336-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "FRANCISCO",
        "middle_name": "JAVIER",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP4535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.