Individual provider Active NPI

Armando Sanchez Abucejo Jr., AGACNP-BC

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1649785288
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP10823 Issued in AZ
Practice address
18012 N 34TH Dr
Phoenix, AZ 85053-1627
Phone
(623) 734-5230
NPI assigned
Dec 5, 2017
Last updated
Dec 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP10823 AZ Primary

Addresses

Primary practice location

18012 N 34TH Dr
Phoenix, AZ 85053-1627

Mailing address

18012 N 34TH Dr
Phoenix, AZ 85053-1627
Phone (623) 734-5230

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
I20180531001908 AZ Practitioner - Nurse Practitioner 6507121167 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10823AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Aug 24, 2022 Accepting new patients
Banner Hospital Based Physicians Arizona LLC Current Accepting new patients
Banner-University Medical Group CurrentSince Jan 1, 2019 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Feb 7, 2021 Accepting new patients
Cogent Healthcare of Arizona PC CurrentSince Feb 1, 2022 Accepting new patients
American Physicians, Inc. CurrentSince Oct 15, 2022 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Feb 7, 2021 Accepting new patients
Banner Hospital Based Physicians Arizona LLC CurrentSince Aug 24, 2022 Accepting new patients
American Physicians, Inc CurrentSince Oct 15, 2022 Accepting new patients
Banner-University Medical Group CurrentSince Jan 1, 2019 Accepting new patients

Locations

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

433 E 6th St
Mesa, AZ 85203
Phone (480) 427-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9201 W Thomas Rd
Phoenix, AZ 85037
Phone (623) 327-4000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

535 N Wilmot Rd
Ste 101
Tucson, AZ 85711
Phone (520) 694-9988

Organizations & group practices 10

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1649785288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18012 N 34TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850531627",
            "telephone_number": "623-734-5230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18012 N 34TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850531627",
            "telephone_number": "623-734-5230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUCEJO",
        "first_name": "ARMANDO",
        "middle_name": "SANCHEZ",
        "name_suffix": "Jr.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP10823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.