Active NPI
James Benjamin Hackett, FNP-C
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP8200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP8200 | Other | AZ | ARIZONA STATE BOARD OF NURSING |
| RN141174 | Other | AZ | AZ 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
Enrollment records 1
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
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 100
- Quality
- 83.77
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704291763 | MI | MD | Registered Nurse |
| RN141174 | AZ | MD | Flight Registered Nurse |
| AP8200 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opulent Health LLC | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Tucson, AZ
- NPI 1730137480
-
- Primary Care Clinic/Center
- Tucson, AZ
- NPI 1336706837
-
- Cardiac Rehabilitation Registered Nurse
- Sahuarita, AZ
- NPI 1962259812
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.