Individual provider Active NPI

Aric Ra-Sean Ray, FNP

  • Family Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1245843465
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
246717 Issued in AZ
Practice address
286 S Lenzner Ave
Sierra Vista, AZ 85635-5685
Phone
(520) 452-0388
Fax
(877) 281-8622
NPI assigned
Aug 27, 2020
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 246717 AZ Primary

Addresses

Primary practice location

286 S Lenzner Ave
Sierra Vista, AZ 85635-5685

Mailing address

286 S Lenzner Ave
Sierra Vista, AZ 85635-5685
Phone (520) 452-0388

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
I20201102001524 AZ Practitioner - Nurse Practitioner 2567872625 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

286 S Lenzner Ave
Suite a
Sierra Vista, AZ 85635-5685
Phone (520) 452-0388

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family CurrentSince Jan 6, 2023 Accepting new patients
Moblie Health Care Solutions, LLC Past Accepting new patients

Locations

3552 W Baseline Rd
Ste S240
Laveen, AZ 85339

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

286 S Lenzner Ave
Sierra Vista, AZ 85635
Phone (520) 452-0388

286 S Lenzner Ave
Ste A
Sierra Vista, AZ 85635
Phone (520) 452-0388

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1598486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1245843465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355685",
            "telephone_number": "520-452-0388",
            "fax_number": "877-281-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 S LENZNER AVE",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355685",
            "telephone_number": "520-452-0388",
            "fax_number": "877-281-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "ARIC",
        "middle_name": "RA-SEAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-27",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "246717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.