Individual provider Active NPI

Angelica Lentner, AGACNP-BC

  • Interventional Cardiology Physician
  • Tucson, AZ
National Provider Identifier
1497203350
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
AP8966 Issued in AZ
Practice address
445 N Silverbell Rd Ste 202
Tucson, AZ 85745-2686
Phone
(520) 872-7238
Fax
(520) 872-7638
NPI assigned
Sep 20, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP8966 AZ
Interventional Cardiology Physician 207RI0011X AP8966 AZ Primary

Addresses

Primary practice location

445 N Silverbell Rd Ste 202
Tucson, AZ 85745-2686

Mailing address

445 N Silverbell Rd Ste 202
Tucson, AZ 85745-2686
Phone (520) 872-7238

Other practice location 1

1501 N Campbell Ave
Tucson, AZ 85724-0001
Phone (520) 694-6804

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
I20161212001295 AZ Practitioner - Nurse Practitioner 8628358512 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8966AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tucson Physician Group Holdings, LLC Interventional Cardiology CurrentSince Dec 15, 2019 Accepting new patients
Cadence Health Ca PC CurrentSince Jan 16, 2026 Accepting new patients
Carondelet Medical Group, Inc Adult Health Past Accepting new patients

Locations

400 W Camino Casa Verde
Ste 100
Green Valley, AZ 85614
Phone (520) 625-1760

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

1625 N Campbell Ave
Tucson, AZ 85719

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

6567 E Carondelet Dr
Ste 225
Tucson, AZ 85710
Phone (520) 886-3432

1707 W Saint Marys Rd
Ste 100
Tucson, AZ 85745

445 N Silverbell Rd
Ste 202
Tucson, AZ 85745
Phone (520) 872-6620

445 N Silverbell Rd
Ste 201
Tucson, AZ 85745
Phone (520) 396-1370

6565 E Carondelet Dr
Ste 155
Tucson, AZ 85710
Phone (520) 849-8900

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

Interoperability endpoints

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

Organizations & group practices 3

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": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1497203350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N SILVERBELL RD STE 202",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452686",
            "telephone_number": "520-872-7238",
            "fax_number": "520-872-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 N SILVERBELL RD STE 202",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452686",
            "telephone_number": "520-872-7238",
            "fax_number": "520-872-7638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 N Campbell Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857240001",
            "country_code": "US",
            "telephone_number": "520-694-6804",
            "fax_number": "520-694-1007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENTNER",
        "first_name": "ANGELICA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP8966",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AZ",
            "license": "AP8966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.