Individual provider Active NPI

Paisley Lorice Rojo, FNP-C

  • Primary Care Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1295093391
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
234445 Issued in AZ
Practice address
1707 W Saint Marys Rd
Tucson, AZ 85745-2608
Phone
(520) 622-5912
NPI assigned
Apr 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LP048164 AZ
Licensed Vocational Nurse 164X00000X VN239747 CA
Primary Care Nurse Practitioner 363LP2300X 234445 AZ Primary

Addresses

Primary practice location

1707 W Saint Marys Rd
Tucson, AZ 85745-2608

Mailing address

1707 W Saint Marys Rd
Tucson, AZ 85745-2608
Phone (520) 622-5912

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
I20220602001606 AZ Practitioner - Nurse Practitioner 0941688998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

1707 W Saint Marys Rd
Suite 101
Tucson, AZ 85745-2612
Phone (520) 396-1370

Hospital & facility affiliations

  • St Joseph'S Hospital Hospital, Tucson, AZ, CCN 030011
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LP048164AZMDLicensed Practical Nurse
VN239747CAMDLicensed Vocational Nurse
234445AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC CurrentSince May 23, 2022 Accepting new patients
Carondelet Medical Group, Inc Family PastSince May 23, 2022 Accepting new patients

Locations

6565 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 575-0944

6565 E Carondelet Dr
Ste 155
Tucson, AZ 85710
Phone (520) 849-8900

1707 W Saint Marys Rd
Ste 101
Tucson, AZ 85745
Phone (520) 396-1370

1707 W Saint Marys Rd
Ste 100
Tucson, AZ 85745

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

1707 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 396-1370

Interoperability endpoints

  • Direct secure messaging: paisley.rojo.1@600.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 2

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1295093391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 W SAINT MARYS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452608",
            "telephone_number": "520-622-5912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 W SAINT MARYS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452608",
            "telephone_number": "520-622-5912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJO",
        "first_name": "PAISLEY",
        "middle_name": "LORICE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AZ",
            "license": "LP048164",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN239747",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "234445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.