Individual provider Active NPI

Annalisa McBride, AGNP-C

  • Gerontology Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1245037084
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
298950 Issued in AZ
Practice address
535 S Orange Ave
Yuma, AZ 85364-3027
Phone
(928) 446-2067
NPI assigned
Feb 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 298950 AZ Primary

Addresses

Primary practice location

535 S Orange Ave
Yuma, AZ 85364-3027

Mailing address

535 S Orange Ave
Yuma, AZ 85364-3027
Phone (928) 446-2067

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
I20250331001275 AZ Practitioner - Nurse Practitioner 3870016801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eleganz Medical Spa PLLCGroup PAC ID 7416490107, 3 clinicians

Practice addresses (Care Compare)

3970 W 24TH St
Suite 203
Yuma, AZ 85364-9261
Phone (928) 783-5634

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Yuma, AZ, CCN 037192
  • Caring Touch Home Care, LLC Home health agency, Yuma, AZ, CCN 037298
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
298950AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curative Specialty Care LLC CurrentSince Apr 28, 2025 Accepting new patients
Eleganz Medical Spa PLLC CurrentSince Mar 21, 2025 Accepting new patients

Locations

5115 N Dysart Rd
Ste 202
Litchfield Pk, AZ 85340
Phone (602) 319-9756

3970 W 24th St
Ste 203
Yuma, AZ 85364
Phone (928) 783-5634

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1245037084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S ORANGE AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853643027",
            "telephone_number": "928-446-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S ORANGE AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853643027",
            "telephone_number": "928-446-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBRIDE",
        "first_name": "ANNALISA",
        "name_prefix": "Mrs.",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "298950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.