Individual provider Active NPI

Consuelo Moore, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1639623531
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8755 Issued in AZ
Practice address
3820 N Oracle Rd
Tucson, AZ 85705-3227
Phone
(520) 200-6707
NPI assigned
Aug 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP8755 AZ Primary

Addresses

Primary practice location

3820 N Oracle Rd
Tucson, AZ 85705-3227

Mailing address

PO Box 746093
Atlanta, GA 30374-6093
Phone (520) 200-6707

Other practice location 1

13395 N Marana Main St
Marana, AZ 85653-7008
Phone (520) 682-4111

Other identifiers 1

IdentifierTypeStateIssuer
195929MedicaidAZ

Other names 1

  • Consuelo Romero Other name

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
I20170110002710 AZ Practitioner - Nurse Practitioner 8426339201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

Practice addresses (Care Compare)

183 W Apache TRL
Suite B109
Apache Junction, AZ 85120-3425
Phone (480) 618-0945

3820 N Oracle Rd
Tucson, AZ 85705-3227
Phone (520) 200-6707

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Street Health Physicians Group of Arizona PLLC Nurse Practitioner CurrentSince Mar 18, 2024 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

183 W Apache Trl
Ste B109
Apache Junction, AZ 85120
Phone (480) 618-0945

2850 E Main St
Ste 106
Mesa, AZ 85213
Phone (480) 618-0019

3820 N Oracle Rd
Tucson, AZ 85705
Phone (520) 200-6707

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1639623531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093",
            "telephone_number": "520-200-6707",
            "fax_number": "520-300-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 N ORACLE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857053227",
            "telephone_number": "520-200-6707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13395 N Marana Main St",
            "address_purpose": "LOCATION",
            "city": "Marana",
            "state": "AZ",
            "postal_code": "856537008",
            "country_code": "US",
            "telephone_number": "520-682-4111",
            "fax_number": "520-682-3817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "CONSUELO",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-09",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "195929",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CONSUELO",
            "last_name": "ROMERO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.