Individual provider Active NPI

Jason Stanhibel

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1649668013
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP7543 Issued in AZ
Practice address
1601 W Saint Marys Rd
Tucson, AZ 85745-2623
Phone
(520) 647-8854
Fax
(520) 647-8851
NPI assigned
Jan 7, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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 AP7543 AZ Primary

Addresses

Primary practice location

1601 W Saint Marys Rd
Tucson, AZ 85745-2623

Mailing address

630 N Alvernon Way
Suite 230
Tucson, AZ 85711-1843
Phone (520) 647-8854

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
I20150518000775 AZ Practitioner - Nurse Practitioner 0143540088 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

6567 E Carondelet Dr
Suite 225
Tucson, AZ 85710-6154
Phone (520) 886-3432

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.74 of 100Reported as group
Quality
79.16
Promoting interoperability
100
Improvement activities
40
Cost
69.96

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Arizona LLP CurrentSince Oct 10, 2024 Accepting new patients
Nextcare Arizona LLC CurrentSince Aug 24, 2019 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Banner-University Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. CurrentSince Apr 11, 2017 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Jan 10, 2018 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Jan 10, 2018 Accepting new patients
Banner-University Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Tucson Physician Group Holdings, LLC CurrentSince Jul 12, 2021 Accepting new patients
Emergency Room Associates Past Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients

Locations (25 of 52)

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

1155 W Ocotillo Rd
Ste 4
Chandler, AZ 85248
Phone (480) 374-7400

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

399 S Malpais Ln
Ste 100
Flagstaff, AZ 86001
Phone (928) 286-8830

6343 S Higley Rd
Gilbert, AZ 85298
Phone (480) 748-2712

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

5410 W Thunderbird Rd
Ste 101
Glendale, AZ 85306
Phone (602) 530-6189

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

10240 N 43rd Ave
Ste 3
Glendale, AZ 85302
Phone (623) 742-2060

17688 W Elliot Rd
Goodyear, AZ 85338
Phone (623) 889-6823

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

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

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

298 W Mariposa Rd
Ste 2
Nogales, AZ 85621
Phone (520) 394-7388

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

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

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

8101 N 19th Ave
Ste A
Phoenix, AZ 85021
Phone (602) 845-4505

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

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

34640 N North Valley Pkwy
Ste A104
Phoenix, AZ 85086
Phone (623) 444-2001

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 11

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1649668013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N ALVERNON WAY",
            "address_2": "SUITE 230",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111843",
            "telephone_number": "520-647-8854",
            "fax_number": "520-647-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W SAINT MARYS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452623",
            "telephone_number": "520-647-8854",
            "fax_number": "520-647-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANHIBEL",
        "first_name": "JASON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP7543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.