Active NPI
Micaela Rose Prevatke, NP
- Acute Care Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 269731
- Practice address
- 6200 N la Cholla Blvd
Tucson, AZ 85741-3529 - Phone
- (520) 742-9000
- NPI assigned
- Dec 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 269731 | AZ | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 28295291A | IN | |
| Acute Care Nurse Practitioner | 363LA2100X | APRN11032333 | FL | |
| Registered Nurse | 163W00000X | 179686 | AZ |
Addresses
Primary practice location
6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Mailing address
6393 W Smoky Falls Way
Tucson, AZ 85757-6996
Phone (928) 581-6161
Other names 1
- Micaela Prevatke
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, NV, FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 229-2657
2200 S Houghton Rd
Tucson, AZ 85748-7632
Phone (561) 299-3667
8300 Collier Blvd
Naples, FL 34114-3549
Phone (561) 299-3667
85 E US Hwy 6
Valparaiso, IN 46383-8947
Phone (561) 299-3667
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179686 | AZ | MD | Registered Nurse |
| 269731 | AZ | MD | Acute Care Nurse Practitioner |
| APRN11032333 | FL | MD | Acute Care Nurse Practitioner |
| 28295291A | IN | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuview Health Indiana PC | Current | Accepting new patients | |
| Nuview Telehealth, LLC | Current | Accepting new patients | |
| Northwest HBP Medical Services LLC | Current | Accepting new patients | |
| App of Southern Arizona HM LLC | Current | Accepting new patients | |
| Southern Nevada Pain Center Kim PC | Current | Accepting new patients |
Locations
2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273
1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500
2200 S Houghton Rd
Tucson, AZ 85748
Phone (520) 287-5728
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
1825 NW Corporate Blvd
Ste 105
Boca Raton, FL 33431
Phone 5612993667205
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
1309 N Flagler Dr
West Palm Beach, FL 33401
Phone (561) 650-6309
1331 State St
Laporte, IN 46350
Phone (219) 326-2415
85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743
6950 W Desert Inn Rd
Ste 110
Las Vegas, NV 89117
Phone (702) 259-5550
5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EAIIBA
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1407353006
-
- Critical Care Medicine (Internal Medicine) Physician
- Boca Raton, FL
- NPI 1215496336
AZ, IN
-
- Specialist
- Boca Raton, FL
- NPI 1538300181
-
- Interventional Pain Medicine Physician
- Las Vegas, NV
- NPI 1073624011
-
- Hospitalist Physician
- Brentwood, TN
- NPI 1518542679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1598423105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6393 W SMOKY FALLS WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857576996",
"telephone_number": "928-581-6161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 N LA CHOLLA BLVD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857413529",
"telephone_number": "520-742-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREVATKE",
"first_name": "MICAELA",
"middle_name": "ROSE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-01",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AZ",
"license": "269731",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IN",
"license": "28295291A",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "APRN11032333",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "179686",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICAELA",
"last_name": "PREVATKE",
"credential": "MICAELA FRICCHIONE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.