Individual provider Active NPI

Amy Colvin

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1356724983
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7816 Issued in AZ
Practice address
3950 S Country Club Rd Ste 103
Tucson, AZ 85714-2099
Phone
(520) 874-2778
NPI assigned
Jul 1, 2015
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 AP7816 AZ Primary

Addresses

Primary practice location

3950 S Country Club Rd Ste 103
Tucson, AZ 85714-2099

Mailing address

3950 S Country Club Rd
Suite 103
Tucson, AZ 85714
Phone (520) 874-2778

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
I20150813009686 AZ Practitioner - Nurse Practitioner 1557676095 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians

Practice addresses (Care Compare)

2800 E Ajo Way
Tucson, AZ 85713-6204
Phone (520) 874-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.34 of 100Reported as apm
Quality
74.56
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP7816AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Mar 14, 2016 Accepting new patients
Banner-University Medical Group CurrentSince Mar 14, 2016 Accepting new patients

Locations

1501 N Campbell Ave
#245575
Tucson, AZ 85724

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

2800 E Ajo Way
Bldg 100
Tucson, AZ 85713
Phone (520) 419-5820

3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719

3950 S Country Club Rd
Ste 200
Tucson, AZ 85714
Phone (520) 626-5582

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

707 N Alvernon Way
Ste 101
Tucson, AZ 85711
Phone (520) 626-2551

707 N Alvernon Way
Ste 201
Tucson, AZ 85711
Phone (520) 694-1725

8290 S Houghton Rd
Ste 150
Tucson, AZ 85747
Phone (520) 694-1045

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1435708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356724983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 S COUNTRY CLUB RD",
            "address_2": "SUITE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85714",
            "telephone_number": "520-874-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 S COUNTRY CLUB RD STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142099",
            "telephone_number": "520-874-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.