Individual provider Active NPI

James Benjamin Hackett, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1285015503
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8200 Issued in AZ
Practice address
4729 E Camp Lowell Dr
Tucson, AZ 85712
Phone
(520) 838-3540
Fax
(520) 325-3526
NPI assigned
Jun 11, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704291763 MI
Flight Registered Nurse 163WF0300X RN141174 AZ
Family Nurse Practitioner 363LF0000X AP8200 AZ Primary

Addresses

Primary practice location

4729 E Camp Lowell Dr
Tucson, AZ 85712

Mailing address

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719-1563
Phone (520) 297-3907

Other identifiers 2

IdentifierTypeStateIssuer
AP8200OtherAZARIZONA STATE BOARD OF NURSING
RN141174OtherAZAZ LICENSE

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
I20151026001243 AZ Practitioner - Nurse Practitioner 7113236571 Reassigns benefits to 2 organizations
Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pima Heart Physicians PCGroup PAC ID 6507751294, 65 clinicians

Practice addresses (Care Compare)

4475 S I 19 Frontage Rd
Suite 125
Green Valley, AZ 85614-6336
Phone (520) 838-3540

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 838-3540

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
83.77
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704291763MIMDRegistered Nurse
RN141174AZMDFlight Registered Nurse
AP8200AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Opulent Health LLC CurrentSince May 2, 2019 Accepting new patients
Pima Heart Physicians, PC Current Accepting new patients

Locations

4475 S I 19 Frontage Rd
Ste 125
Green Valley, AZ 85614

480 N Morley Ave
Nogales, AZ 85621
Phone (520) 287-2726

12115 N Oracle Rd
Ste 101
Oro Valley, AZ 85737
Phone (520) 287-5728

15920 S Rancho Sahuarita Blvd
Ste 120
Sahuarita, AZ 85629
Phone (520) 575-1175

4729 E Camp Lowell Dr
Tucson, AZ 85712

2001 W Orange Grove Rd
Ste 312
Tucson, AZ 85704
Phone (520) 297-8429

1238 W Orange Grove Rd
Ste 103
Tucson, AZ 85704

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719

445 N Silverbell Rd
Ste 200
Tucson, AZ 85745
Phone (520) 624-8935

5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344

2404 E River Rd
Ste 100
Tucson, AZ 85718
Phone (520) 585-5796

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

Interoperability endpoints

  • Direct secure messaging: jbenjamin.hackett@ushv.eclinicaldirectplus.com

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": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1285015503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE",
            "address_2": "STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-297-3907",
            "fax_number": "520-989-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4729 E CAMP LOWELL DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85712",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "JAMES",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704291763",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "AZ",
            "license": "RN141174",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF NURSING",
            "identifier": "AP8200",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "RN141174",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.