Tirsa Carolina Quartullo, CFNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN118603 Issued in AZ

Practice address

3104 E Indian School Rd Ste 100
Phoenix, AZ 85016-6873

Phone

(480) 590-6600

Fax

(480) 590-5695

NPI assigned

May 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tirsa Carolina Boncore Former name

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.48 of 100Reported as group

Quality

82.26

Promoting interoperability

83

Improvement activities

40

Cost

76.85

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tirsa.quartullo.3@29324.direct.athenahealth.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Show Low, AZ
  • NPI 1740373257

  AZ

  Medicare reassignment NPD
• Phoenix Health Practitioners LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1205525839

  AZ

  Medicare reassignment NPD
• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Quartzsite, AZ
  • NPI 1427506203
  NPD
• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Mesa, AZ
  • NPI 1659829109
  NPD
• Arizona Skin and Laser Therapy Institute, LTD

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1770519019
  NPD
• Center for Dermatology, PLLC

  • Medical Physician Assistant
  • Scottsdale, AZ
  • NPI 1174062673
  NPD (past)
• Judy M Pinsonneault, D.O., P.C.

  • Primary Care Clinic/Center
  • Mesa, AZ
  • NPI 1013035211
  NPD (past)
• RCDC West PLC

  • Dermatology Physician
  • Avondale, AZ
  • NPI 1639109853
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1467455477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 E INDIAN SCHOOL RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166873",
            "telephone_number": "480-590-6600",
            "fax_number": "480-590-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 E INDIAN SCHOOL RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166873",
            "telephone_number": "480-590-6600",
            "fax_number": "480-590-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARTULLO",
        "first_name": "TIRSA",
        "middle_name": "CAROLINA",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN118603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "829567",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIRSA",
            "last_name": "BONCORE",
            "middle_name": "CAROLINA",
            "credential": "CFNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dora Quan, FNP-C
• Kaitlin Quan, CPO
• Leslie Quandt-Walle, DVM
• Kiara Rose Quaranta
• Maa-Ohui Quarmyne
• Gino Quatraro
• Leeann Qubain
• Amanda M Queen, P.A.-C
• Jade Queen, CCMA, CPT
• Dianna Queheillalt

• All providers in Phoenix, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.