Individual provider Active NPI

Micaela Rose Prevatke, NP

  • Acute Care Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1598423105
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
269731 Issued in AZ
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

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NV, FL, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220203001102 AZ Practitioner - Nurse Practitioner 5092108621 Reassigns benefits to 2 organizations
I20230323003111 NV Practitioner - Nurse Practitioner 5092108621 Reassigns benefits to 1 organization
I20240729004611 FL Practitioner - Nurse Practitioner 5092108621 Reassigns benefits to 1 organization
I20251119000261 IN Practitioner - Nurse Practitioner 5092108621 Reassigns benefits to 1 organization

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
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians
Nuview Health Indiana PCGroup PAC ID 6103169966, 43 clinicians
Nuview Telehealth LLCGroup PAC ID 8022166974, 97 clinicians

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

LicenseStateTypeSpecialty
179686AZMDRegistered Nurse
269731AZMDAcute Care Nurse Practitioner
APRN11032333FLMDAcute Care Nurse Practitioner
28295291AINMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nuview Health Indiana PC CurrentSince Dec 26, 2023 Accepting new patients
Nuview Telehealth, LLC CurrentSince Jul 17, 2024 Accepting new patients
Northwest HBP Medical Services LLC CurrentSince Aug 19, 2023 Accepting new patients
App of Southern Arizona HM LLC CurrentSince Jan 31, 2022 Accepting new patients
Southern Nevada Pain Center Kim PC CurrentSince Apr 1, 2023 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.