Individual provider Active NPI

Lynn Marie Pura, NP

  • Ambulatory Care Registered Nurse
  • Homer, AK
National Provider Identifier
1609906379
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
172897 Issued in AK
Practice address
940 Father Dean CT
Homer, AK 99603-0120
Phone
(510) 599-7685
NPI assigned
Mar 6, 2007
Last updated
Jun 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered Nurse 163WP2201X 172897 AK Primary

Addresses

Primary practice location

940 Father Dean CT
Homer, AK 99603-0120

Mailing address

940 Father Dean CT
Homer, AK 99603-0120
Phone (510) 599-7685

Other identifiers 1

IdentifierTypeStateIssuer
6350336MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CO, WY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20091118000188 AZ Practitioner - Nurse Practitioner 9638115462 Reassigns benefits to 2 organizations
I20220725003219 CO Practitioner - Nurse Practitioner 9638115462 Reassigns benefits to 1 organization
I20230406001567 WY Practitioner - Nurse Practitioner 9638115462 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
172897AKMDAmbulatory Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Nextcare Arizona LLC CurrentSince Feb 6, 2013 Accepting new patients
Nextcare Arizona I JV LLC CurrentSince Mar 4, 2024 Accepting new patients
Colorado Urgent Care PLLC Current Accepting new patients
Colorado Urgent Care PLLC CurrentSince Jun 15, 2022 Accepting new patients
Colorado Urgent Care PLLC CurrentSince Jun 15, 2022 Accepting new patients
College Drive Urgent Care LLC CurrentSince Mar 9, 2023 Accepting new patients
Medi Horizons Inc Past Accepting new patients
Emurgent Care PLLC Past Accepting new patients

Locations (25 of 33)

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

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

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

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

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

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

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

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

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

3229 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 788-3285

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

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

2062 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 443-5103

2122 N Scottsdale Rd
Scottsdale, AZ 85257
Phone (480) 889-3570

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

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

Interoperability endpoints

  • Direct secure messaging: lynn.purafnp.p1@direct.nextcare.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1609906379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 FATHER DEAN CT",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996030120",
            "telephone_number": "510-599-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 FATHER DEAN CT",
            "city": "HOMER",
            "state": "AK",
            "postal_code": "996030120",
            "telephone_number": "510-599-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURA",
        "first_name": "LYNN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "AK",
            "license": "172897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6350336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer, AK

Sources for this page

Verify at the official NPI Registry.