Individual provider Active NPI

Geneva Daneker, FNP

  • Family Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1619419157
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9649 Issued in AZ
Practice address
150 S Coronado Dr Ste 110
Sierra Vista, AZ 85635-6352
Phone
(520) 458-1787
Fax
(520) 458-1519
NPI assigned
Nov 15, 2016
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 TAP9649 AZ
Family Nurse Practitioner 363LF0000X AP9649 AZ Primary

Addresses

Primary practice location

150 S Coronado Dr Ste 110
Sierra Vista, AZ 85635-6352

Mailing address

150 S Coronado Dr Ste 110
Sierra Vista, AZ 85635-6352
Phone (520) 458-1787

Other identifiers 1

IdentifierTypeStateIssuer
Z199204OtherAZMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gdaneker@directaddress.net

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
I20170316001302 AZ Practitioner - Nurse Practitioner 7719262666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Plastic Surgery of Arizona LLCGroup PAC ID 8820225238, 7 clinicians

Practice addresses (Care Compare)

150 S Coronado Dr
Suite 110
Sierra Vista, AZ 85635-6352
Phone (520) 458-1787

5101 N Oracle Rd
Suite 121
Tucson, AZ 85704-3713
Phone (520) 207-3100

Merit-based Incentive Payment System (MIPS)

Final score
93.06 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
76.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TAP9649AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Plastic Surgery of Arizona LLC CurrentSince Mar 1, 2017 Accepting new patients
Coronado Surgery Center LLC Past Accepting new patients

Locations

150 S Coronado Dr
Ste 110
Sierra Vista, AZ 85635
Phone (520) 458-1787

165 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 458-1787

5101 N Oracle Rd
Ste 121
Tucson, AZ 85704
Phone (520) 207-3100

698 E Wetmore Rd
Ste 310
Tucson, AZ 85705
Phone (520) 207-3100

Interoperability endpoints

  • Direct secure messaging: gdaneker@directaddress.net

Organizations & group practices 2

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": "1479168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1619419157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S CORONADO DR STE 110",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356352",
            "telephone_number": "520-458-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S CORONADO DR STE 110",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356352",
            "telephone_number": "520-458-1787",
            "fax_number": "520-458-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANEKER",
        "first_name": "GENEVA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-15",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP9649",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z199204",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gdaneker@directaddress.net",
            "affiliation": "N",
            "address_1": "150 S Coronado Dr Ste 110",
            "city": "Sierra Vista",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856356352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.