Individual provider Active NPI

Linda M Vincent, MS, ACNP-BC

  • Acute Care Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1417196379
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP3173 Issued in AZ
Practice address
599 E Wilcox Dr
Sierra Vista, AZ 85635-2531
Phone
(520) 459-4604
NPI assigned
Feb 16, 2009
Last updated
Jul 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP3173 AZ Primary
Gerontology Nurse Practitioner 363LG0600X AP3173 AZ

Addresses

Primary practice location

599 E Wilcox Dr
Sierra Vista, AZ 85635-2531

Mailing address

599 E Wilcox Dr
Sierra Vista, AZ 85635-2531
Phone (520) 459-4604

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
I20090604000090 AZ Practitioner - Nurse Practitioner 9133279656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Cancer Care LLCGroup PAC ID 8628328796, 6 clinicians
LCS Healthcare Group LLCGroup PAC ID 8820391436, 4 clinicians

Practice addresses (Care Compare)

198 S Coronado Dr
Suite a
Sierra Vista, AZ 85635-6357
Phone (520) 220-5020

599 E Wilcox Dr
Sierra Vista, AZ 85635-2531
Phone (520) 459-4604

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
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP3173AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Cancer Care LLC CurrentSince Nov 1, 2024 Accepting new patients
LCS Healthcare Group LLC CurrentSince Aug 6, 2024 Accepting new patients
Banner-University Medical Group Past Accepting new patients
American Geriatric Enterprise, Inc. Past Accepting new patients

Locations

198 S Coronado Dr
Ste A
Sierra Vista, AZ 85635
Phone (520) 220-5020

2250 El Mercado Loop
Sierra Vista, AZ 85635
Phone (520) 220-5020

599 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 459-4600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12563/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 4

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": "1234742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1417196379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352531",
            "telephone_number": "520-459-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352531",
            "telephone_number": "520-459-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "LINDA",
        "middle_name": "M",
        "credential": "MS,  ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-16",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP3173",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP3173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.