Individual provider Active NPI

Sara Christina Rubio, AGACNP-BC

  • Gerontology Nurse Practitioner
  • Lake Havasu City, AZ
National Provider Identifier
1326513136
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
218450 Issued in AZ
Practice address
2035 Mesquite Ave
Lake Havasu City, AZ 86403-5894
Phone
(928) 208-4598
Fax
(888) 571-6436
NPI assigned
Oct 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN127360 AZ
Gerontology Nurse Practitioner 363LG0600X 218450 AZ Primary

Addresses

Primary practice location

2035 Mesquite Ave
Lake Havasu City, AZ 86403-5894

Mailing address

2035 Mesquite Ave
Lake Havasu City, AZ 86403-5894
Phone (928) 208-4598

Other practice location 1

2302 N Stockton Hill Rd Ste G
Kingman, AZ 86401-4100
Phone (928) 718-2225

Other identifiers 1

IdentifierTypeStateIssuer
218450OtherAZAGACNP-BC 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
I20200218002130 AZ Practitioner - Nurse Practitioner 5092142778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

Practice addresses (Care Compare)

285 Lake Havasu Ave S
Suite 100
Lake Havasu City, AZ 86403-0852
Phone (928) 208-4598

Hospital & facility affiliations

  • River Valley Home Health Home health agency, Lake Havasu, AZ, CCN 037402
  • Foundation Home Health, LLC Home health agency, Lake Havasu City, AZ, CCN 037486
  • Havasu Regional Medical Center Home Health Home health agency, Lake Havasu City, AZ, CCN 037057
  • Havasu Regional Medical Center Hospital, Lake Havasu City, AZ, CCN 030069
  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • La Paz Regional Hospital Hospital, Parker, AZ, CCN 031317

Merit-based Incentive Payment System (MIPS)

Final score
79.85 of 100Reported as group
Quality
60.31
Promoting interoperability
93
Improvement activities
40
Cost
78.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218450AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC CurrentSince Jun 16, 2025 Accepting new patients
Lakeside Heart and Vascular Center PLLC CurrentSince Feb 15, 2023 Accepting new patients
Raghav LLC CurrentSince Jun 16, 2025 Accepting new patients
Mohave Primary Care PastSince Nov 30, 2019 Accepting new patients

Locations

2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499

2020 Silver Creek Rd
Ste A103
Bullhead City, AZ 86442
Phone (520) 758-0135

1753 Airway Ave
Ste A
Kingman, AZ 86409
Phone (520) 757-4359

3931 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 385-7100

285 Lake Havasu Ave S
Ste 100
Lake Havasu City, AZ 86403
Phone (928) 208-4598

1830 Mesquite Ave
Ste A
Lk Havasu Cty, AZ 86403
Phone (928) 453-4300

2035 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 208-4598

2082 Mesquite Ave
Ste 100A
Lk Havasu Cty, AZ 86403
Phone (928) 453-2828

1840 Mesquite Ave
Ste F
Lk Havasu Cty, AZ 86403

297 Lake Havasu Ave S
Ste 204
Lk Havasu Cty, AZ 86403
Phone (928) 453-1970

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

Interoperability endpoints

  • Direct secure messaging: sara.rubio.1@3291.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3291/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 7

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1326513136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035894",
            "telephone_number": "928-208-4598",
            "fax_number": "888-571-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 MESQUITE AVE",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035894",
            "telephone_number": "928-208-4598",
            "fax_number": "888-571-6436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 N Stockton Hill Rd Ste G",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864014100",
            "country_code": "US",
            "telephone_number": "928-718-2225",
            "fax_number": "928-718-2226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "SARA",
        "middle_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN127360",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "218450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGACNP-BC LICENSE",
            "identifier": "218450",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.