Individual provider Active NPI

Darren J Hammergren, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1386669885
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP 2617 Issued in AZ
Practice address
5920 E Pima St Ste 140
Tucson, AZ 85712-4380
Phone
(520) 747-2861
Fax
(520) 733-3444
NPI assigned
Jul 13, 2006
Last updated
Oct 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP 2617 AZ Primary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN108557 AZ

Addresses

Primary practice location

5920 E Pima St Ste 140
Tucson, AZ 85712-4380

Mailing address

5920 E Pima St Ste 140
Tucson, AZ 85712-4380
Phone (520) 747-2861

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
I20070924000192 AZ Practitioner - Nurse Practitioner 3779677687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5920 E Pima St
Suite 140
Tucson, AZ 85712-4380
Phone (520) 747-2861

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP 2617AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Darren J Hammergren LLC Psychiatric/Mental Health CurrentSince Oct 25, 2004 Accepting new patients

Locations

5700 E Pima St
Ste I
Tucson, AZ 85712
Phone (520) 529-8883

5920 E Pima St
Ste 140
Tucson, AZ 85712
Phone (520) 733-2524

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635120000000",
    "number": "1386669885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 E PIMA ST STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124380",
            "telephone_number": "520-747-2861",
            "fax_number": "520-733-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 E PIMA ST STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124380",
            "telephone_number": "520-747-2861",
            "fax_number": "520-733-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMERGREN",
        "first_name": "DARREN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP 2617",
            "primary": true
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "AZ",
            "license": "RN108557",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.