Individual provider Active NPI

Tangeca Wells, FNP-C

  • Nurse Practitioner
  • Maricopa, AZ
National Provider Identifier
1326404799
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP8380 Issued in AZ
Practice address
19756 N John Wayne Pkwy
Suite 111
Maricopa, AZ 85139-8513
Phone
(602) 885-0329
NPI assigned
Jan 14, 2016
Last updated
Jan 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP8380 AZ Primary
Registered Nurse 163W00000X RN194263 AZ

Addresses

Primary practice location

19756 N John Wayne Pkwy
Suite 111
Maricopa, AZ 85139-8513

Mailing address

20987 N John Wayne Pkwy # B104-415
Maricopa, AZ 85139-2926
Phone (602) 885-0329

Other practice location 1

2700 S Woodlands Village Blvd
suite 300-404
Flagstaff, AZ 86001-7114
Phone (386) 479-6495

Other practice location 2

20987 N John Wayne Pkwy # B104-415
Maricopa, AZ 85139-2926
Phone (602) 885-0329

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
I20160726002285 AZ Practitioner - Nurse Practitioner 1658664875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Einfectionmd LLCGroup PAC ID 6406191543, 18 clinicians

Practice addresses (Care Compare)

2375 E Camelback Rd
Suite 600
Phoenix, AZ 85016-3493
Phone (602) 387-4035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN194263AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Apr 5, 2019 Accepting new patients
Native Americans for Community Action, Inc CurrentSince Aug 9, 2016 Accepting new patients
Good Health Medical, PLLC CurrentSince Apr 5, 2019 Accepting new patients
Leading Healthcare, LLC CurrentSince May 4, 2019 Accepting new patients
Einfectionmd PC CurrentSince Jun 18, 2019 Accepting new patients

Locations

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

1500 E Cedar Ave
Ste 26
Flagstaff, AZ 86004
Phone (928) 773-1245

1500 E Cedar Ave
Ste 56
Flagstaff, AZ 86004
Phone (928) 526-2968

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

13575 W McDowell Rd
Goodyear, AZ 85395
Phone (347) 309-3320

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

13215 N 94th Dr
Peoria, AZ 85381
Phone (310) 270-6181

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109

4120 N 108th Ave
Ste 116
Phoenix, AZ 85037
Phone (602) 881-5430

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1452729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1326404799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20987 N JOHN WAYNE PKWY # B104-415",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851392926",
            "telephone_number": "602-885-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19756 N JOHN WAYNE PKWY",
            "address_2": "SUITE 111",
            "city": "MARICOPA",
            "state": "AZ",
            "postal_code": "851398513",
            "telephone_number": "602-885-0329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 S Woodlands Village Blvd",
            "address_2": "suite 300-404",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860017114",
            "country_code": "US",
            "telephone_number": "386-479-6495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20987 N John Wayne Pkwy # B104-415",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851392926",
            "country_code": "US",
            "telephone_number": "602-885-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELLS",
        "first_name": "TANGECA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-14",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP8380",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN194263",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maricopa, AZ

Sources for this page

Verify at the official NPI Registry.