Individual provider Active NPI

Geoffrey Figueras Medida, FNP-C

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1659080067
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
283264 Issued in AZ
Practice address
6739 W Cactus Rd
Peoria, AZ 85381-5311
Phone
(833) 242-0100
Fax
(855) 420-6361
NPI assigned
Nov 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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 283264 AZ Primary

Addresses

Primary practice location

6739 W Cactus Rd
Peoria, AZ 85381-5311

Mailing address

6739 W Cactus Rd
Peoria, AZ 85381-5311
Phone (833) 242-0100

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
I20221214000432 AZ Practitioner - Nurse Practitioner 5597134569 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alante Primary Care and Palliative Services LLC CurrentSince Jan 1, 2023 Accepting new patients
Alante Primary Care W LLC CurrentSince Dec 15, 2024 Accepting new patients
Angels Valley Community Healthcare Center PLLC CurrentSince Dec 1, 2022 Accepting new patients

Locations

6739 W Cactus Rd
Peoria, AZ 85381
Phone (623) 240-1110

14820 N Cave Creek Rd
Ste 2
Phoenix, AZ 85032
Phone (202) 455-0013

8502 E Princess Dr
Ste 200E
Scottsdale, AZ 85255
Phone (480) 631-4978

Organizations & group practices 3

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1659080067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6739 W CACTUS RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815311",
            "telephone_number": "833-242-0100",
            "fax_number": "855-420-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6739 W CACTUS RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815311",
            "telephone_number": "833-242-0100",
            "fax_number": "855-420-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDIDA",
        "first_name": "GEOFFREY",
        "middle_name": "FIGUERAS",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "283264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.