Individual provider Active NPI

Anna Masciola

  • Pediatric Registered Nurse
  • Grand Junction, CO
National Provider Identifier
1295403418
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
229191 Issued in AZ
Practice address
3150 N 12TH St
Grand Junction, CO 81506-2863
Phone
(970) 243-5437
NPI assigned
Sep 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X 229191 AZ Primary

Addresses

Primary practice location

3150 N 12TH St
Grand Junction, CO 81506-2863

Mailing address

1305 N Martin Ave
Tucson, AZ 85721-0001
Phone (520) 626-6154

Other practice location 1

1305 N Martin Ave
Tucson, AZ 85721-0001
Phone (520) 626-6154

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250731003166 CO Practitioner - Nurse Practitioner 6608384714 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229191AZMDPediatric Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Partners, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Primary Care Partners, Inc. CurrentSince Sep 8, 2025 Accepting new patients
Primary Care Partners, Inc. Current Accepting new patients
University of Arizona Nursing and Health Associates PastSince Sep 5, 2021 Accepting new patients
Primary Care Partners, Inc. Past Accepting new patients

Locations

456 Kokopelli Blvd
Unit D
Fruita, CO 81521
Phone (970) 243-5437

3150 N 12th St
Grand Junction, CO 81506
Phone (970) 243-5437

Interoperability endpoints

  • Direct secure messaging: annamasciola@pcp.allscriptsdirect.net

Organizations & group practices 5

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": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1295403418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N MARTIN AVE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210001",
            "telephone_number": "520-626-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 N 12TH ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815062863",
            "telephone_number": "970-243-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 N Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857210001",
            "country_code": "US",
            "telephone_number": "520-626-6154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASCIOLA",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "AZ",
            "license": "229191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.