Natalija De Retana, AGNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP10895 Issued in AZ

Practice address

5882 S Hospital Dr
Globe, AZ 85501-9455

Phone

(928) 793-3747

NPI assigned

Jan 16, 2018

Last updated

Oct 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St. Mary's Hospital Hospital, Tucson, AZ, CCN 030010
• St Joseph's Hospital Hospital, Tucson, AZ, CCN 030011

Merit-based Incentive Payment System (MIPS)

Final score

84.74 of 100Reported as group

Quality

79.16

Promoting interoperability

100

Improvement activities

40

Cost

69.96

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

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.

• Tucson Physician Group Holdings, LLC

  dba Carondelet Medical Group

  • Interventional Cardiology Physician
  • Tucson, AZ
  • NPI 1356726939
  Medicare reassignment Care Compare group NPD
• Abdul Memon, MD, PLLC

  dba Cardiovascular Associates of Arizona

  • Cardiovascular Disease Physician
  • Globe, AZ
  • NPI 1760622344
  Medicare reassignment NPD
• Cogent Healthcare of Arizona PC

  • Internal Medicine Physician
  • Sierra Vista, AZ
  • NPI 1568758266
  Medicare reassignment NPD
• Ives de Chazal, MD, PLLC

  • Pulmonary Disease Physician
  • Tucson, AZ
  • NPI 1720750425
  Medicare reassignment NPD
• Oro Valley Medicine LLC

  • Internal Medicine Physician
  • Oro Valley, AZ
  • NPI 1205930500
  Medicare reassignment NPD
• American Physicians, Inc.

  • Hospitalist Physician
  • Phoenix, AZ
  • NPI 1609869908
  NPD
• American Physicians, Inc

  • Hospitalist Physician
  • Dover Foxcroft, ME
  • NPI 1881090934
  NPD
• Carondelet Medical Group, Inc

  • Family Medicine Physician
  • Tucson, AZ
  • NPI 1659326585
  NPD (past)
• Phoenix Neurological Institute, Inc

  dba Phoenician Behavioral Health

  • Neurology Physician
  • Chandler, AZ
  • NPI 1336319086
  NPD (past)
• Rivera Physician PLLC

  • Interventional Cardiology Physician
  • Phoenix, AZ
  • NPI 1578007597
  NPD (past)
• SMSJ Tucson Holdings LLC

  dba St. Marys Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265818488
  NPD (past)
• SMSJ Tucson Holdings LLC

  dba St. Josephs Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1538535158
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• SMSJ Tucson Holdings LLC

  dba St. Marys Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1265818488
  Care Compare affiliation
• SMSJ Tucson Holdings LLC

  dba St. Josephs Hospital

  • General Acute Care Hospital
  • Tucson, AZ
  • NPI 1538535158
  Care Compare affiliation

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

{
    "created_epoch": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1447768130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855019455",
            "telephone_number": "928-793-3747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 E Tangerin Rd, Suite 329",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857399554",
            "country_code": "US",
            "telephone_number": "888-599-6634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13101 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857399554",
            "country_code": "US",
            "telephone_number": "888-599-6634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE RETANA",
        "first_name": "NATALIJA",
        "credential": "AGNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10895",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP10895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CV OB GYN Women's Healthcare
• CVD Care Globe LLC
• Jody Lynn Daggett, MD
• Russell Scott Dal Molin, D.C.
• Jennifer Lyn Davis, LPN
• Desert Oasis Wellness Center, PLLC
• Desert Ophthalmology, P.C.
• Desert Pain and Rehab Specialists
• Destiny School Inc.
• Diamond Dental Globe LLC

• Nurse Practitioner in Globe, AZ
• Providers in Globe, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.