Individual provider Active NPI

America Rayan Bad Heart Bull, NP

  • Family Nurse Practitioner
  • Sells, AZ
National Provider Identifier
1659025989
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
269872 Issued in AZ
Practice address
PO Box 548
Sells, AZ 85634-0548
Phone
(786) 631-1914
NPI assigned
Feb 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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 269872 AZ Primary

Addresses

Primary practice location

PO Box 548
Sells, AZ 85634-0548

Mailing address

PO Box 548
Sells, AZ 85634-0548
Phone (520) 383-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240821001522 TX Practitioner - Nurse Practitioner 1153770565 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ton San Xavier Health CenterGroup PAC ID 6608819339, 23 clinicians
Ton Sells HospitalGroup PAC ID 5092768663, 51 clinicians

Practice addresses (Care Compare)

7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 547-8142

Highway 86 at Topawa Rd
Sells Indian Hospital
Sells, AZ 85634
Phone (520) 383-7285

Hospital & facility affiliations

  • Sells Hospital Hospital, Sells, AZ, CCN 030074

Merit-based Incentive Payment System (MIPS)

Final score
77.37 of 100Reported as group
Quality
74
Improvement activities
40
Cost
72.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ton San Xavier Health Center CurrentSince Aug 9, 2024 Accepting new patients
Ton Santa Rosa Health Center CurrentSince Aug 9, 2024 Accepting new patients
Ton Sells Hospital CurrentSince Aug 9, 2024 Accepting new patients
Ton San Simon Health Center CurrentSince Nov 24, 2024 Accepting new patients
Ton San Simon Health Center CurrentSince Aug 9, 2024 Accepting new patients
Ton Sells Hospital Past Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients

Locations

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

Organizations & group practices 8

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": "1644105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1659025989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340548",
            "telephone_number": "520-383-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "856340548",
            "telephone_number": "786-631-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAD HEART BULL",
        "first_name": "AMERICA",
        "middle_name": "RAYAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-06",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "269872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sells, AZ

Sources for this page

Verify at the official NPI Registry.