Individual provider Active NPI

Ramon Nava Jr., PMHNP-BC, FNP-BC

  • Family Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1245845692
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020066397 Issued in AZ
Practice address
162 W Evergreen Pear Ave
Queen Creek, AZ 85140-7911
Phone
(915) 543-0601
NPI assigned
Sep 12, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020066397 AZ Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 240462 AZ

Addresses

Primary practice location

162 W Evergreen Pear Ave
Queen Creek, AZ 85140-7911

Mailing address

702 Tres Marias
Weslaco, TX 78596-2163
Phone (915) 543-0601

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20210128001396 OR Practitioner - Nurse Practitioner 2163836404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Mental Performance LLCGroup PAC ID 2062751357, 9 clinicians

Practice addresses (Care Compare)

2110 Mission St SE
Suite 305
Salem, OR 97302-0038
Phone (503) 379-1902

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2020066397AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Mental Performance LLC CurrentSince Jan 1, 2021 Accepting new patients
Precision Mental Performance LLC Past Accepting new patients
Precision Mental Performance LLC Past Accepting new patients

Locations

975 SE Sandy Blvd
Ste 230
Portland, OR 97214
Phone (503) 379-1902

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1245845692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 TRES MARIAS",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785962163",
            "telephone_number": "915-543-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 W EVERGREEN PEAR AVE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851407911",
            "telephone_number": "915-543-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVA",
        "first_name": "RAMON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-12",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "2020066397",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "240462",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.