Individual provider Active NPI

Michael Rubio, FNP-C

  • Family Nurse Practitioner
  • Casa Grande, AZ
National Provider Identifier
1467345231
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
248904 Issued in AZ
Practice address
520 N Camino Mercado Ste 1
Casa Grande, AZ 85122-5754
Phone
(520) 557-5660
NPI assigned
May 31, 2025
Last updated
Aug 26, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 248904 AZ Primary

Addresses

Primary practice location

520 N Camino Mercado Ste 1
Casa Grande, AZ 85122-5754

Mailing address

2451 E Baseline Rd Ste 425
Gilbert, AZ 85234-0049
Phone (480) 549-4227

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
I20250715000334 AZ Practitioner - Nurse Practitioner 4789199134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonhoeffer Rheumatology Institute LLCGroup PAC ID 1850601360, 10 clinicians

Practice addresses (Care Compare)

520 N Camino Mercado
Casa Grande, AZ 85122-5754
Phone (480) 494-2770

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248904AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bonhoeffer Rheumatology Institute, LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

520 N Camino Mercado
Casa Grande, AZ 85122
Phone (480) 494-2770

520 N Camino Mercado
Ste 1
Casa Grande, AZ 85122
Phone (520) 557-5660

2451 E Baseline Rd
Ste 425
Gilbert, AZ 85234
Phone (480) 494-2770

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGIFDD

Organizations & group practices 1

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": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1467345231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 425",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852340049",
            "telephone_number": "480-549-4227",
            "fax_number": "480-494-2771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N CAMINO MERCADO STE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225754",
            "telephone_number": "520-557-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "248904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.