Active NPI
Sara Christina Rubio, AGACNP-BC
- Gerontology Nurse Practitioner
- Lake Havasu City, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 218450
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218450 | Other | AZ | AGACNP-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
Enrollment records 1
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
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
- Foundation Home Health, LLC
- Havasu Regional Medical Center Home Health
- Havasu Regional Medical Center
- Kingman Regional Medical Center
- La Paz Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.85 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 218450 | AZ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prescott Healthcare Solutions LLC | Current | Accepting new patients | |
| Lakeside Heart and Vascular Center PLLC | Current | Accepting new patients | |
| Raghav LLC | Current | Accepting new patients | |
| Mohave Primary Care | Past | 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
- sara.rubio.1@3291.direct.athenahealth.com
- 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.
-
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
-
- Interventional Cardiology Physician
- Lake Havasu City, AZ
- NPI 1801194352
-
- Multi-Specialty Clinic/Center
- Surprise, AZ
- NPI 1598125791
-
- Specialist
- Kingman, AZ
- NPI 1700909330
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lake Havasu City, AZ
- NPI 1487190658
-
- Home Health Agency
- Lake Havasu City, AZ
- NPI 1811402332
-
- Rural Acute Care Hospital
- Lake Havasu City, AZ
- NPI 1780761866
-
- General Acute Care Hospital
- Kingman, AZ
- NPI 1265423917
-
- Critical Access Hospital
- Parker, AZ
- NPI 1053684555
-
- Home Health Agency
- Lake Havasu City, AZ
- NPI 1578947842
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.