Individual provider Active NPI

William Michalides, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1265054688
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
240949 Issued in AZ
Practice address
8050 E Lakeside Pkwy
Tucson, AZ 85730-1254
Phone
(520) 584-5820
Fax
(520) 514-1514
NPI assigned
May 7, 2020
Last updated
Mar 4, 2025By the provider in NPPES
Sex
Male
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 240949 AZ Primary
Family Nurse Practitioner 363LF0000X 60015 NM

Addresses

Primary practice location

8050 E Lakeside Pkwy
Tucson, AZ 85730-1254

Mailing address

1477 W Commerce CT
Tucson, AZ 85746-6016
Phone (520) 792-3293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GU, NM, WI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200709002247 AZ Practitioner - Nurse Practitioner 8426471434 Reassigns benefits to 3 organizations
I20230531000599 GU Practitioner - Nurse Practitioner 8426471434 Reassigns benefits to 1 organization
I20240311002832 NM Practitioner - Nurse Practitioner 8426471434 Reassigns benefits to 1 organization
I20260611000374 WI Practitioner - Nurse Practitioner 8426471434 Reassigns benefits to 2 organizations

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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians
Cope Community Services IncGroup PAC ID 9537131198, 25 clinicians

Practice addresses (Care Compare)

2961 Saint Anthony Dr
Green Bay, WI 54311-5860
Phone (888) 408-7008

8050 E Lakeside Pkwy
Tucson, AZ 85730-1254
Phone 52079232931308

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
240949AZMDFamily Nurse Practitioner
60015NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Regional Hospital Inc CurrentSince Jul 1, 2020 Accepting new patients
Presbyterian Medical Services CurrentSince Jan 29, 2024 Accepting new patients
Cope Community Services, Inc. CurrentSince Mar 4, 2025 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jul 1, 2020 Accepting new patients
Cope Community Services, Inc. Current Accepting new patients
Cope Community Services, Inc. CurrentSince Mar 4, 2025 Accepting new patients
Presbyterian Medical Services CurrentSince Jan 29, 2024 Accepting new patients
Presbyterian Medical Services Current Accepting new patients
Takecare Insurance Company Inc. CurrentSince May 1, 2023 Accepting new patients
Cope Community Services, Inc. Past Accepting new patients

Locations

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

1477 W Commerce Ct
Tucson, AZ 85746
Phone 52079232931308

1501 W Commerce Ct
Tucson, AZ 85746
Phone (520) 741-3180

2435 N Castro Ave
Tucson, AZ 85705
Phone (520) 622-8030

620 N Craycroft Rd
Tucson, AZ 85711
Phone (520) 747-6694

7020 N Antonietta Dr
Tucson, AZ 85704
Phone (520) 219-8747

8050 E Lakeside Pkwy
Tucson, AZ 85730
Phone (520) 584-5820

548 S Marine Corps Dr
Tamuning, GU 96913
Phone (671) 646-5824

1001 W Broadway
Ste D
Farmington, NM 87401
Phone (505) 325-0238

1422 Paseo de Peralta
Santa Fe, NM 87501
Phone (505) 982-5565

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1265054688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 W COMMERCE CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466016",
            "telephone_number": "520-792-3293",
            "fax_number": "520-792-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 E LAKESIDE PKWY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857301254",
            "telephone_number": "520-584-5820",
            "fax_number": "520-514-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHALIDES",
        "first_name": "WILLIAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-07",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "240949",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "60015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.