Individual provider Active NPI

Kevin T Ralls, NP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1386076958
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5058 Issued in AZ
Practice address
1460 W Valencia Rd
Tucson, AZ 85746-6001
Phone
(520) 573-0966
Fax
(520) 573-3930
NPI assigned
Aug 5, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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 AP5058 AZ Primary

Addresses

Primary practice location

1460 W Valencia Rd
Tucson, AZ 85746-6001

Mailing address

1669 W Ina Rd Ste 101
Tucson, AZ 85704-1976
Phone (520) 573-0966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131016001998 AZ Practitioner - Nurse Practitioner 1951535442 Reassigns benefits to 2 organizations
I20170811000180 CO Practitioner - Nurse Practitioner 1951535442 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Solutions Glendale PCGroup PAC ID 7517103906, 42 clinicians
Primary Care Solutions PCGroup PAC ID 4183847114, 24 clinicians

Practice addresses (Care Compare)

760 S Colorado Blvd
Unit a
Denver, CO 80246-1900
Phone (303) 692-8000

760 S Colorado Blvd
Unit B
Denver, CO 80246-1956
Phone (303) 692-8000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP5058AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Jun 1, 2016 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Jun 1, 2016 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Dec 16, 2016 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Dec 16, 2016 Accepting new patients
Primary Care Solutions P.C. CurrentSince Aug 1, 2024 Accepting new patients
Primary Care Solutions P.C. PastSince Aug 3, 2025 Accepting new patients
Primary Care Solutions P.C. PastSince Aug 3, 2025 Accepting new patients

Locations

695 S Pecan Tree Ln
Green Valley, AZ 85614
Phone (520) 625-8116

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

1669 W Ina Rd
Ste 101
Tucson, AZ 85704
Phone (520) 573-0966

1669 W Ina Rd
Ste 141
Tucson, AZ 85704
Phone (520) 795-6183

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

3790 W Colfax Ave
Unit B
Denver, CO 80204
Phone (303) 480-1000

2848 Colorado Blvd
Denver, CO 80207
Phone (303) 381-1100

3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000

777 E Speer Blvd
Ste 100
Denver, CO 80203
Phone (303) 733-4000

1295 N Colorado Blvd
Denver, CO 80206
Phone (303) 399-6120

760 S Colorado Blvd
Unit B
Denver, CO 80246
Phone (303) 692-8000

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1386076958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 W INA RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041976",
            "telephone_number": "520-573-0966",
            "fax_number": "520-784-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857466001",
            "telephone_number": "520-573-0966",
            "fax_number": "520-573-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALLS",
        "first_name": "KEVIN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-05",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.