Individual provider Active NPI

Craig Alan Kasper Sr., FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1609463710
Registry record updated Oct 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
251497 Issued in AZ
Practice address
4834 E Broadway Blvd
Tucson, AZ 85711-3610
Phone
(602) 804-9007
NPI assigned
Dec 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 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 95153436 CA
Family Nurse Practitioner 363LF0000X 251497 AZ Primary

Addresses

Primary practice location

4834 E Broadway Blvd
Tucson, AZ 85711-3610

Mailing address

15180 W Capricorn Dr
Eloy, AZ 85131-3399
Phone (760) 808-2320

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
I20210925000182 AZ Practitioner - Nurse Practitioner 3678981487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

Practice addresses (Care Compare)

1040 S Harrison Rd
Suite 120
Tucson, AZ 85748-6601
Phone (520) 989-8255

10568 N Oracle Rd
Suite 110
Tucson, AZ 85737-9314
Phone (520) 543-6960

1218 W Irvington Rd
Suite 150
Tucson, AZ 85714-1137
Phone (520) 989-8257

1370 N Silverbell Rd
Suite 170
Tucson, AZ 85745-2291
Phone (520) 205-8950

1880 E Tangerine Rd
Suite 100
Oro Valley, AZ 85755-6241
Phone (520) 989-8249

3662 W Ina Rd
Suite 150
Tucson, AZ 85741-2269
Phone (520) 989-8251

3870 W River Rd
Suite 126
Tucson, AZ 85741-3080
Phone (520) 219-6616

4001 E Sunrise Dr
Suite 121
Tucson, AZ 85718-4326
Phone (520) 209-7000

446 N Campbell Ave
Unit 130
Tucson, AZ 85719-5660
Phone (520) 989-8245

6572 E Grant Rd
Suite 130
Tucson, AZ 85715-3810
Phone (520) 989-8259

7375 S Houghton Rd
Suite 115
Tucson, AZ 85747-9302
Phone (520) 640-6300

7725 N Oracle Rd
Suite 131
Oro Valley, AZ 85704-6987
Phone (520) 989-8253

7895 E Broadway Blvd
Tucson, AZ 85710-3943
Phone (520) 543-6770

9175 E Tanque Verde Rd
Tucson, AZ 85749-8820
Phone (520) 989-8241

Merit-based Incentive Payment System (MIPS)

Final score
50.84 of 100Reported as group
Quality
7.69
Promoting interoperability
100
Improvement activities
0
Cost
78.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
251497AZMDFamily Nurse Practitioner
95153436CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Urgent Care LLC CurrentSince Apr 10, 2024 Accepting new patients

Locations

3630 W Tangerine Rd
Ste 100
Marana, AZ 85658
Phone (520) 744-3206

3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000

1370 N Silverbell Rd
Ste 170
Tucson, AZ 85745
Phone (520) 205-8950

1370 N Silverbell Rd
Tucson, AZ 85745
Phone (520) 628-4222

4001 E Sunrise Dr
Ste 121
Tucson, AZ 85718
Phone (520) 209-7000

Interoperability endpoints

  • Direct secure messaging: craig.kasper.sr.1@1576.direct.athenahealth.com

Organizations & group practices 1

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": "1608595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728777600000",
    "number": "1609463710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15180 W CAPRICORN DR",
            "city": "ELOY",
            "state": "AZ",
            "postal_code": "851313399",
            "telephone_number": "760-808-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857113610",
            "telephone_number": "602-804-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPER",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "name_suffix": "Sr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-22",
        "last_updated": "2024-10-13",
        "certification_date": "2024-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95153436",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "251497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.