Individual provider Active NPI

Sylvia Patricia Valenzuela, PMHNP, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1578822680
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP4470 Issued in AZ
Practice address
5055 E Broadway Blvd Ste A200
Tucson, AZ 85711-3649
Phone
(520) 721-1887
Fax
(520) 721-0069
NPI assigned
May 9, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP4470 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP4470 AZ Primary

Addresses

Primary practice location

5055 E Broadway Blvd Ste A200
Tucson, AZ 85711-3649

Mailing address

PO Box 86537
Tucson, AZ 85754-6537
Phone (520) 721-1887

Other identifiers 1

IdentifierTypeStateIssuer
707910MedicaidAZ

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
I20120803000764 AZ Practitioner - Nurse Practitioner 6901052166 Reassigns benefits to 5 organizations
Practice locations: Tucson, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinal Hispanic CouncilGroup PAC ID 4981742434, 9 clinicians
Community Partners Integrated Healthcare, Inc.Group PAC ID 7315163938, 22 clinicians

Practice addresses (Care Compare)

107 E 4TH St
Eloy, AZ 85131-2506
Phone (520) 466-7765

5055 E Broadway Blvd
Suite A200
Tucson, AZ 85711-3649
Phone (520) 901-4800

5055 E Broadway Blvd
Suite B100
Tucson, AZ 85711-3642
Phone (520) 901-4676

556 S Arizona Blvd
Coolidge, AZ 85128-5106
Phone (520) 723-7405

Merit-based Incentive Payment System (MIPS)

Final score
45.68 of 100Reported as group
Quality
40.49
Promoting interoperability
0
Improvement activities
30
Cost
74.27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP4470AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Pain Institute of Southern Arizona Pisa PC CurrentSince Aug 10, 2019 Accepting new patients
Intermountain Centers for Human Development Inc. Current Accepting new patients
Community Partners Integrated Healthcare Inc. CurrentSince Jun 24, 2024 Accepting new patients
Pinal Hispanic Council CurrentSince Jun 24, 2024 Accepting new patients
Pinal Hispanic Council Incorporated CurrentSince Jun 24, 2024 Accepting new patients
Pain Institute of Southern Arizona Pisa PC CurrentSince Aug 10, 2019 Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Intermountain Centers for Human Development Inc. CurrentSince Jun 24, 2024 Accepting new patients
Pinal Hispanic Council Current Accepting new patients
Intermountain Health Center Inc Current Accepting new patients
Intermountain Health Center, Inc. CurrentSince Jun 24, 2024 Accepting new patients
Community Partners Integrated Healthcare, Inc. Current Accepting new patients
Intermountain Centers for Human Development Past Accepting new patients
Mental Health Resources Inc PastSince May 14, 2023 Accepting new patients
Mental Health Resources Inc Past Accepting new patients
Randall S. Prust MD PC Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients
Randall S. Prust MD PC Past Accepting new patients
Behavioral Consultation Services, Inc. PastSince Nov 22, 2020 Accepting new patients
Intermountain Centers for Human Development Inc. PastSince Aug 4, 2024 Accepting new patients

Locations (25 of 31)

500 S Highway 80
Ste A
Benson, AZ 85602
Phone (520) 720-0290

1326 W Highway 92
Ste J
Bisbee, AZ 85603
Phone (520) 366-3603

2028 N Trekell Rd
Ste 102
Casa Grande, AZ 85122
Phone (520) 381-3010

1667 N Trekell Rd
Ste 101
Casa Grande, AZ 85122
Phone (520) 284-5436

556 S Arizona Blvd
Coolidge, AZ 85128
Phone (520) 723-7405

1940 E 11th St
Douglas, AZ 85607
Phone (520) 364-4001

1930 E 11th St
Douglas, AZ 85607
Phone (520) 364-4508

107 E 4th St
Eloy, AZ 85131
Phone (480) 247-7619

275 N Grand Court Plz
Nogales, AZ 85621
Phone (520) 287-0015

272 W View Point Dr
Nogales, AZ 85621
Phone (520) 281-0678

1515 E Osborn Rd
Phoenix, AZ 85014
Phone (602) 604-0000

301 E 4th St
Ste A
Safford, AZ 85546
Phone (928) 792-4242

2039 E Wilcox Dr
Ste A
Sierra Vista, AZ 85635
Phone (520) 226-9002

2273 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 226-0560

4881 E Grant Rd
Tucson, AZ 85712
Phone (520) 829-6776

5055 E Broadway Blvd
Ste B100
Tucson, AZ 85711
Phone (520) 901-4676

2499 E Ajo Way
Tucson, AZ 85713
Phone (520) 618-8700

1021 E Palmdale St
Ste 150190
Tucson, AZ 85714
Phone (520) 333-4320

5055 E Broadway Blvd
Ste A200
Tucson, AZ 85711
Phone (520) 901-4701

3716 E Columbia St
Ste 120
Tucson, AZ 85714
Phone (520) 318-4882

1021 E Palmdale St
Ste 130
Tucson, AZ 85714
Phone (520) 407-5353

4582 N 1st Ave
Tucson, AZ 85718

5055 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 207-7118

2502 N Dodge Blvd
Ste 100
Tucson, AZ 85716
Phone (520) 901-4701

1773 W Saint Marys Rd
Ste 105
Tucson, AZ 85745
Phone (520) 622-8357

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72783
  • Direct secure messaging: sylvia.valenzuela.p1@direct.cpi.nextgenshare.com

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1578822680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86537",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857546537",
            "telephone_number": "520-721-1887",
            "fax_number": "520-372-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 E BROADWAY BLVD STE A200",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113649",
            "telephone_number": "520-721-1887",
            "fax_number": "520-721-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "SYLVIA",
        "middle_name": "PATRICIA",
        "credential": "PMHNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4470",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP4470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "707910",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.