Individual provider Active NPI

Amanda Grace Poer, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1407687478
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
312730 Issued in AZ
Practice address
3662 W Ina Rd
Tucson, AZ 85741-2269
Phone
(520) 234-8379
NPI assigned
Aug 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 312730 AZ Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

3662 W Ina Rd
Tucson, AZ 85741-2269

Mailing address

3662 W Ina Rd
Tucson, AZ 85741-2269
Phone (520) 234-8379

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
I20241002002967 AZ Practitioner - Nurse Practitioner 0648701532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
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)

1040 S Harrison Rd
Suite 120
Tucson, AZ 85748-6601
Phone (520) 989-8255

10568 N Oracle Rd
Suite 110
Tucson, AZ 85737-9314
Phone (520) 543-6960

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

4001 E Sunrise Dr
Suite 121
Tucson, AZ 85718-4326
Phone (520) 209-7000

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

6303 E Broadway Blvd
Suite 161
Tucson, AZ 85710-3549
Phone (520) 989-8243

6572 E Grant Rd
Suite 130
Tucson, AZ 85715-3810
Phone (520) 989-8259

7725 N Oracle Rd
Suite 131
Oro Valley, AZ 85704-6987
Phone (520) 989-8253

9175 E Tanque Verde Rd
Tucson, AZ 85749-8820
Phone (520) 989-8241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
312730AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Arizona Urgent Care, LLC Urgent Care CurrentSince Sep 18, 2024 Accepting new patients
Southern Arizona Urgent Care, LLC Urgent Care CurrentSince Sep 18, 2024 Accepting new patients
Northwest Urgent Care LLC Urgent Care CurrentSince Apr 8, 2025 Accepting new patients
Southern Arizona Urgent Care LLC Urgent Care Current Accepting new patients
Bullhead City Clinic Corp Past Accepting new patients

Locations

3699 Highway 95
Ste 500
Bullhead City, AZ 86442
Phone (928) 278-6211

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

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

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

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

Interoperability endpoints

  • Direct secure messaging: amanda.poer.1@1576.direct.athenahealth.com

Organizations & group practices 5

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": "1723420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1407687478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3662 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412269",
            "telephone_number": "520-234-8379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3662 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412269",
            "telephone_number": "520-234-8379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POER",
        "first_name": "AMANDA",
        "middle_name": "GRACE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-12",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "312730",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.