Individual provider Active NPI

Chad Rubin, FPNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1548256142
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP1598 Issued in AZ
Practice address
502 W 29TH St
Tucson, AZ 85713-3353
Phone
(520) 884-9920
NPI assigned
Sep 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RN103936 AZ
Family Nurse Practitioner 363LF0000X AP1598 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP1598 AZ Primary

Addresses

Primary practice location

502 W 29TH St
Tucson, AZ 85713-3353

Mailing address

504 W 29TH St
Tucson, AZ 85713-3353
Phone (520) 884-9920

Other practice location 1

2122 N Craycroft Rd Ste 102
Tucson, AZ 85712-2829
Phone (520) 722-2400

Other identifiers 1

IdentifierTypeStateIssuer
741208MedicaidAZ

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
I20090325000128 AZ Practitioner - Nurse Practitioner 5597822288 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafrontera Center IncGroup PAC ID 0648171330, 14 clinicians

Practice addresses (Care Compare)

502 W 29TH St
Tucson, AZ 85713-3353
Phone (520) 884-9920

Merit-based Incentive Payment System (MIPS)

Final score
72.74 of 100Reported as group
Quality
13.33
Promoting interoperability
80
Improvement activities
40
Cost
95.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN103936AZMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
La Frontera Center, Inc. Current Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Southeastern Arizona Behavioral Health Service, Inc CurrentSince May 19, 2021 Accepting new patients
Nextcare Arizona LLC CurrentSince Mar 18, 2014 Accepting new patients
Lafrontera Center Inc. CurrentSince Feb 22, 2017 Accepting new patients
Lafrontera Center Inc CurrentSince Feb 22, 2017 Accepting new patients
Southeastern Arizona Behavioral Health Services, Inc. Current Accepting new patients
La Frontera Center, Inc. PastSince Mar 12, 2023 Accepting new patients

Locations (25 of 30)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

590 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-6177

470 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-7080

611 W Union St
Benson, AZ 85602
Phone (520) 586-0800

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

4401 E McKellips Rd
Ste 102
Mesa, AZ 85215
Phone (480) 550-8204

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491

3051 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-2591

7425 E Shea Blvd
Ste 108
Scottsdale, AZ 85260
Phone (480) 348-1060

2530 W State Route 89A
Ste A
Sedona, AZ 86336
Phone (520) 203-4813

9745 W Bell Rd
Ste 105
Sun City, AZ 85351
Phone (623) 742-2999

914 N Scottsdale Rd
Ste 104
Tempe, AZ 85288
Phone (480) 776-1620

502 W 29th St
Tucson, AZ 85713
Phone (520) 838-5600

4280 N Oracle Rd
Ste 100
Tucson, AZ 85705
Phone (520) 887-0095

1430 N Oracle Rd
Tucson, AZ 85705
Phone (520) 741-3120

1210 E Pennsylvania St
Tucson, AZ 85714
Phone (520) 741-2351

3620 N Mountain Ave
Tucson, AZ 85719
Phone (520) 838-3932

9525 E Old Spanish Trl
Ste 101
Tucson, AZ 85748
Phone (520) 731-3666

Organizations & group practices 8

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1548256142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W 29TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857133353",
            "telephone_number": "520-884-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W 29TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857133353",
            "telephone_number": "520-884-9920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 N Craycroft Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122829",
            "country_code": "US",
            "telephone_number": "520-722-2400",
            "fax_number": "520-323-7532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "CHAD",
        "credential": "FPNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2021-04-28",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "RN103936",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1598",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP1598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "741208",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.