Individual provider Active NPI

Nicole F Oprea, P.A.

  • Medical Physician Assistant
  • Peoria, AZ
National Provider Identifier
1215932306
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2627 Issued in AZ
Practice address
6965 W Aire Libre Ave
Peoria, AZ 85382-3987
Phone
(602) 758-5230
Fax
(623) 251-2851
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2627 AZ Primary

Addresses

Primary practice location

6965 W Aire Libre Ave
Peoria, AZ 85382-3987

Mailing address

6965 W Aire Libre Ave
Peoria, AZ 85382-3987
Phone (602) 758-5230

Other identifiers 3

IdentifierTypeStateIssuer
P00193604OtherAZRAIL ROAD
P00193604OtherRAILROAD
899213MedicaidAZ

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
I20050107000877 AZ Practitioner - Physician Assistant 2567410350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis House Call LLCGroup PAC ID 0446604300, 2 clinicians

Practice addresses (Care Compare)

6965 W Aire Libre Ave
Peoria, AZ 85382-3987
Phone (815) 953-6422

Hospital & facility affiliations

  • Integrity Home Health Care Services, LLC Home health agency, Phoenix, AZ, CCN 037246
  • Advisacare Solutions of Arizona, LLC Home health agency, Phoenix, AZ, CCN 037417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2627AZMDPediatric Occupational Therapist

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1215932306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 W AIRE LIBRE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823987",
            "telephone_number": "602-758-5230",
            "fax_number": "623-251-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6965 W AIRE LIBRE AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823987",
            "telephone_number": "602-758-5230",
            "fax_number": "623-251-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPREA",
        "first_name": "NICOLE",
        "middle_name": "F",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD",
            "identifier": "P00193604",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00193604",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899213",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.