Individual provider Active NPI

John W Schmaling, DNP GNP-BC CARN-AP

  • Adult Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1629059241
Registry record updated Dec 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP5944 Issued in AZ
Practice address
6802 E Broadway Blvd
Tucson, AZ 85710-2809
Phone
(520) 314-1400
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN096867 AZ
Adult Health Nurse Practitioner 363LA2200X AP5944 AZ Primary

Addresses

Primary practice location

6802 E Broadway Blvd
Tucson, AZ 85710-2809

Mailing address

9449 N 90TH St Ste 210
Scottsdale, AZ 85258-5037
Phone (602) 248-8886

Other identifiers 1

IdentifierTypeStateIssuer
485046MedicaidAZ

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
I20040614001212 AZ Practitioner - Nurse Practitioner 8527042050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21AZMDFoot & Ankle Surgery Podiatrist
RN096867AZMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CJ Medical Transportation Current Accepting new patients
Community Medical Services Arizona-Private, LLC CurrentSince Jun 26, 2022 Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. PastSince Jul 20, 2017 Accepting new patients
Community Medical Services Arizona-Private, LLC Past Accepting new patients
Community Medical Services Arizona-Private, LLC PastSince Feb 1, 2021 Accepting new patients
HLGL LLC PastSince Jun 30, 2024 Accepting new patients

Locations

8444 N 90th St
Ste 100
Scottsdale, AZ 85258
Phone (480) 494-2497

Organizations & group practices 6

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575158400000",
    "number": "1629059241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9449 N 90TH ST STE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585037",
            "telephone_number": "602-248-8886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102809",
            "telephone_number": "520-314-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMALING",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DNP GNP-BC CARN-AP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2019-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN096867",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP5944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "485046",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.