Individual provider Active NPI

Patricia Ferrer, PAC

  • Medical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1275541161
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
4618 Issued in AZ
Practice address
140 W Speedway Blvd
Suite 100
Tucson, AZ 85705-7686
Phone
(520) 628-7871
Fax
(520) 205-8460
NPI assigned
Aug 4, 2006
Last updated
Mar 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 4618 AZ Primary
Dermatology Physician 207N00000X PA10004171 WA

Addresses

Primary practice location

140 W Speedway Blvd
Suite 100
Tucson, AZ 85705-7686

Mailing address

1310 W Saint Marys Rd
Ste a
Tucson, AZ 85745-3231
Phone (520) 647-1656

Other practice location 1

1310 W Saint Marys Rd Ste A2nd
Tucson, AZ 85745-3170
Phone (520) 333-5973 ext. 105

Other identifiers 1

IdentifierTypeStateIssuer
8408411MedicaidWA

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
I20121214000121 AZ Practitioner - Physician Assistant 4385896513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oasis Dermatology PCGroup PAC ID 9032544515, 4 clinicians

Practice addresses (Care Compare)

1055 N la Canada Dr
Suite 131
Green Valley, AZ 85614-3700
Phone (520) 589-2039

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA10004171WAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Eye & Skin Centers P.C. Dermatology Past Accepting new patients
Dyson Dermatology PLLC Dermatology PastSince Feb 18, 2024 Accepting new patients
Skin and Cancer Associates Dermatology PastSince Feb 1, 2021 Accepting new patients
Cascade Eye & Skin Centers PC Dermatology Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: pferrer@skinconcierge.emadirect.md

Organizations & group practices 6

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1275541161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 W SAINT MARYS RD",
            "address_2": "STE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857453231",
            "telephone_number": "520-647-1656",
            "fax_number": "520-254-6851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W SPEEDWAY BLVD",
            "address_2": "SUITE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857057686",
            "telephone_number": "520-628-7871",
            "fax_number": "520-205-8460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 W Saint Marys Rd Ste A2nd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857453170",
            "country_code": "US",
            "telephone_number": "520-333-5973 x105",
            "fax_number": "520-221-2318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRER",
        "first_name": "PATRICIA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "4618",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "PA10004171",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8408411",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.