Individual provider Active NPI

Petra Rosa Mojica

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1457922783
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
280587 Issued in AZ
Practice address
16701 N Oracle Rd Ste 135
Tucson, AZ 85739-9102
Phone
(520) 825-6763
Fax
(520) 825-6841
NPI assigned
Jul 7, 2021
Last updated
Sep 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F0621181 TX
Family Nurse Practitioner 363LF0000X 280587 AZ Primary
Family Nurse Practitioner 363LF0000X F06211981 AZ

Addresses

Primary practice location

16701 N Oracle Rd Ste 135
Tucson, AZ 85739-9102

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230801002450 TX Practitioner - Nurse Practitioner 9638530082 Reassigns benefits to 1 organization
I20240604004352 AZ Practitioner - Nurse Practitioner 9638530082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

14574 S Sunland Gin Rd
Arizona City, AZ 85123-8448
Phone 52046657743007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F06211981AZMDFamily Nurse Practitioner
F0621181TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Senita Community Health Center Current Accepting new patients
Desert Senita Community Health Center CurrentSince Jul 15, 2024 Accepting new patients
Oak Street Health of Texas, PLLC Nurse Practitioner CurrentSince Jul 10, 2023 Accepting new patients
Desert Senita Community Health Center CurrentSince Jul 15, 2024 Accepting new patients
Desert Senita Community Health Center PastSince Sep 1, 2024 Accepting new patients
Desert Senita Community Health Center PastSince Nov 26, 2023 Accepting new patients

Locations

410 N Malacate St
Ajo, AZ 85321
Phone (520) 387-5651

13060 S Sunland Gin Rd
Arizona City, AZ 85123
Phone (520) 350-7011

1269 N Promenade Pkwy
Ste C3
Casa Grande, AZ 85194
Phone (833) 444-5040

1435 N Arizona Blvd
Coolidge, AZ 85128
Phone (520) 387-5651

515 S Stanfield Rd
Bldg O
Stanfield, AZ 85172
Phone (520) 387-5651

2360 Gus Thomasson Rd
Dallas, TX 75228
Phone (314) 301-7071

4115 E Lancaster Ave
Fort Worth, TX 76103
Phone (817) 796-7370

3500 Little York Rd
#A5
Houston, TX 77093
Phone (281) 707-7358

2115 S Broadway Ave
Tyler, TX 75701
Phone (903) 907-7002

Organizations & group practices 7

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": "1625616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789948800000",
    "number": "1457922783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111",
            "fax_number": "520-616-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16701 N ORACLE RD STE 135",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399102",
            "telephone_number": "520-825-6763",
            "fax_number": "520-825-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJICA",
        "first_name": "PETRA",
        "middle_name": "ROSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-07",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "F0621181",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "280587",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F06211981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.