Individual provider Active NPI

Leonard James Atencio, FNP

  • Family Nurse Practitioner
  • Elfrida, AZ
National Provider Identifier
1346622271
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7922 Issued in AZ
Practice address
10566 N Highway 191
Elfrida, AZ 85610-9021
Phone
(520) 642-2222
Fax
(520) 364-4261
NPI assigned
Jun 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP7922 AZ Primary

Addresses

Primary practice location

10566 N Highway 191
Elfrida, AZ 85610-9021

Mailing address

1205 F Ave
Douglas, AZ 85607-1920
Phone (520) 364-1429

Other identifiers 1

IdentifierTypeStateIssuer
082662MedicaidAZ

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
I20160404001266 AZ Practitioner - Nurse Practitioner 0547564221 Reassigns benefits to 3 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
Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

Practice addresses (Care Compare)

1218 W Irvington Rd
Suite 150
Tucson, AZ 85714-1137
Phone (520) 989-8257

1370 N Silverbell Rd
Suite 170
Tucson, AZ 85745-2291
Phone (520) 205-8950

1880 E Tangerine Rd
Suite 100
Oro Valley, AZ 85755-6241
Phone (520) 989-8249

3662 W Ina Rd
Suite 150
Tucson, AZ 85741-2269
Phone (520) 989-8251

3870 W River Rd
Suite 126
Tucson, AZ 85741-3080
Phone (520) 219-6616

446 N Campbell Ave
Unit 130
Tucson, AZ 85719-5660
Phone (520) 989-8245

7895 E Broadway Blvd
Tucson, AZ 85710-3943
Phone (520) 543-6770

Merit-based Incentive Payment System (MIPS)

Final score
50.84 of 100Reported as group
Quality
7.69
Promoting interoperability
100
Improvement activities
0
Cost
78.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Arizona Urgent Care, LLC CurrentSince Jan 20, 2020 Accepting new patients
Northwest Urgent Care LLC CurrentSince Aug 1, 2023 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Southern Arizona Urgent Care LLC CurrentSince Jan 20, 2020 Accepting new patients
Nextcare Arizona LLC CurrentSince Oct 1, 2016 Accepting new patients
Gila River Health Care Corporation Past Accepting new patients
TMC Urgent Care PastSince Aug 4, 2024 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

3630 W Tangerine Rd
Ste 100
Marana, AZ 85658
Phone (520) 744-3206

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

7850 N Silverbell Rd
Ste 132
Tucson, AZ 85743
Phone (480) 500-2286

1370 N Silverbell Rd
Tucson, AZ 85745
Phone (520) 628-4222

7725 N Oracle Rd
Ste 131
Tucson, AZ 85704
Phone (520) 544-2273

1370 N Silverbell Rd
Ste 170
Tucson, AZ 85745
Phone (520) 205-8950

3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000

3662 W Ina Rd
Ste 150
Tucson, AZ 85741
Phone (520) 900-7020

4001 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 209-7000

6238 E Pima St
Tucson, AZ 85712
Phone (520) 290-0022

1394 W 16th St
Yuma, AZ 85364
Phone (928) 539-0055

Interoperability endpoints

  • Direct secure messaging: leonard.atencio.1@1576.direct.athenahealth.com

Organizations & group practices 8

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": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1346622271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 F AVE",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856071920",
            "telephone_number": "520-364-1429",
            "fax_number": "520-364-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10566 N HIGHWAY 191",
            "city": "ELFRIDA",
            "state": "AZ",
            "postal_code": "856109021",
            "telephone_number": "520-642-2222",
            "fax_number": "520-364-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATENCIO",
        "first_name": "LEONARD",
        "middle_name": "JAMES",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-27",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082662",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elfrida, AZ

Sources for this page

Verify at the official NPI Registry.