Active NPI
Shu-Fen Wung, PHD, ACNP
- Acute Care Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- RN115766
- Practice address
- 2122 N Craycroft Rd
Ste 102
Tucson, AZ 85712-2849 - Phone
- (520) 722-2400
- Fax
- (520) 323-7532
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | RN115766 | AZ | Primary |
Addresses
Primary practice location
2122 N Craycroft Rd
Ste 102
Tucson, AZ 85712-2849
Mailing address
2122 N Craycroft Rd
Ste 102
Tucson, AZ 85712-2849
Phone (520) 722-2400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 892267 | Medicaid | AZ | |
| RN115786 | Other | AZ | RN LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN115766 | AZ | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unicareteam PLLC | Current | Accepting new patients | |
| Pinnacle Healthcare, LLC | Current | Accepting new patients | |
| Arizona Acute Medical Services 1 PC | Current | Accepting new patients | |
| Pima Heart Physicians, PC | Past | Accepting new patients | |
| Arizona Post-Acute Medical Services 1 PC | Past | Accepting new patients | |
| Pima Heart Physicians, PC | Past | Accepting new patients | |
| Pima Heart Physicians, PC | Past | Accepting new patients |
Locations
3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000
5301 E Grant Rd
Unit 600
Tucson, AZ 85712
6890 E Sunrise Dr
Ste 120
Tucson, AZ 85750
Phone (520) 408-4321
2001 N Park Ave
Tucson, AZ 85719
Phone (520) 882-3558
5830 E Pima St
Tucson, AZ 85712
Phone (520) 722-5515
1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200
5663 E Grant Rd
Tucson, AZ 85712
Phone (520) 336-9179
1785 E Skyline Dr
Ste 181
Tucson, AZ 85718
Phone (520) 433-4964
Organizations & group practices 7
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.
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1154860674
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1568793974
-
- Health Service Clinic/Center
- Phoenix, AZ
- NPI 1801763016
-
- Hospitalist Physician
- Phoenix, AZ
- NPI 1093254419
-
- Cardiovascular Disease Physician
- Sierra Vista, AZ
- NPI 1003081803
-
- Cardiovascular Disease Physician
- Tucson, AZ
- NPI 1730137480
-
- Cardiac Rehabilitation Registered Nurse
- Sahuarita, AZ
- NPI 1962259812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1215910658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2122 N CRAYCROFT RD",
"address_2": "STE 102",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122849",
"telephone_number": "520-722-2400",
"fax_number": "520-323-7532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2122 N CRAYCROFT RD",
"address_2": "STE 102",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122849",
"telephone_number": "520-722-2400",
"fax_number": "520-323-7532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WUNG",
"first_name": "SHU-FEN",
"credential": "PHD, ACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-21",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "RN115766",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "892267",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "RN115786",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.