Individual provider Active NPI

Eris Norvilus, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1437663614
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP11130 Issued in AZ
Practice address
1075 E Fort Lowell Rd
Tucson, AZ 85719-2159
Phone
(347) 339-2943
NPI assigned
Nov 26, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP11130 AZ Primary

Addresses

Primary practice location

1075 E Fort Lowell Rd
Tucson, AZ 85719-2159

Mailing address

5751 N Kolb Rd
Tucson, AZ 85750-0873
Phone (347) 339-2943

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
I20180607001228 AZ Practitioner - Nurse Practitioner 1254696594 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1075 E Fort Lowell Rd
Tucson, AZ 85719-2159
Phone (520) 202-1960

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health, Recovery & Wellness, Inc. CurrentSince Jun 4, 2018 Accepting new patients
Mental Health Specialty Group PA Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Codac Health Recovery and Wellness CurrentSince Jun 4, 2018 Accepting new patients
Codac Health Recovery and Wellness Single Specialty Current Accepting new patients

Locations

2550 W Union Hills Dr
Phoenix, AZ 85027
Phone (602) 358-0224

1650 E Fort Lowell Rd
Ste 202
Tucson, AZ 85719
Phone (520) 202-1759

4585 E Speedway Blvd
Bldg 1
Tucson, AZ 85712

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

380 E Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 202-1786

Interoperability endpoints

  • Direct secure messaging: eris.norvilus@mmcodachrw.contexture.medalliesmail.com
  • Direct secure messaging: eris.norvilus.p1@direct.codachrw.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1437663614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 N KOLB RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857500873",
            "telephone_number": "347-339-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 E FORT LOWELL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192159",
            "telephone_number": "347-339-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORVILUS",
        "first_name": "ERIS",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-26",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.