Individual provider Active NPI

Susan Hilsabeck, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1497357990
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
248647 Issued in AZ
Practice address
1925 W Orange Grove Rd Ste 105
Tucson, AZ 85704-1150
Phone
(520) 330-3429
Fax
(602) 795-8701
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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 248647 AZ Primary

Addresses

Primary practice location

1925 W Orange Grove Rd Ste 105
Tucson, AZ 85704-1150

Mailing address

6912 S Quentin St Ste 50
Centennial, CO 80112-4531
Phone (720) 282-2377

Other practice location 1

7898 E Acoma Dr Ste 106
Scottsdale, AZ 85260-3480
Phone (907) 279-2425

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
I20220221000660 AZ Practitioner - Nurse Practitioner 6103210984 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248647AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Spine and Pain Specialists LLC CurrentSince Jan 17, 2022 Accepting new patients
Arizona Spine and Pain Specialists LLC CurrentSince Jan 17, 2022 Accepting new patients
West Coast Wound and Skin Care Inc CurrentSince Apr 28, 2025 Accepting new patients

Locations

3706 Highway 95
Ste 101
Bullhead City, AZ 86442
Phone (928) 201-9286

1760 E Florence Blvd
Ste 120
Casa Grande, AZ 85122
Phone (520) 426-1000

1760 E Florence Blvd
Ste 140
Casa Grande, AZ 85122
Phone (520) 426-1000

1760 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 836-4868

725 S Dobson Rd
Ste 100
Chandler, AZ 85224
Phone (480) 814-0266

20280 N 59th Ave
Ste 115610
Glendale, AZ 85308

20280 N 59th Ave
Ste 115617
Glendale, AZ 85308

7200 W Bell Rd
Ste F101
Glendale, AZ 85308
Phone (623) 776-9111

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1497357990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6912 S QUENTIN ST STE 50",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801124531",
            "telephone_number": "720-282-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 W ORANGE GROVE RD STE 105",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041150",
            "telephone_number": "520-330-3429",
            "fax_number": "602-795-8701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7898 E Acoma Dr Ste 106",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852603480",
            "country_code": "US",
            "telephone_number": "907-279-2425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILSABECK",
        "first_name": "SUSAN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "248647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.