Individual provider Active NPI

Arlly Regoso

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1669939641
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
224126 Issued in AZ
Practice address
2830 N Swan Rd Ste 180
Tucson, AZ 85712-6301
Phone
(520) 382-5972
NPI assigned
Feb 26, 2019
Reactivated
May 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 224126 AZ Primary

Addresses

Primary practice location

2830 N Swan Rd Ste 180
Tucson, AZ 85712-6301

Mailing address

2830 N Swan Rd Ste 180
Tucson, AZ 85712-6301
Phone (520) 382-5972

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190617001049 AZ Practitioner - Nurse Practitioner 1153654652 Reassigns benefits to 1 organization
I20201130000414 TX Practitioner - Nurse Practitioner 1153654652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gila River Health Care CorporationGroup PAC ID 0648174185, 245 clinicians
Aia Hospitalists LLCGroup PAC ID 3375583636, 51 clinicians

Practice addresses (Care Compare)

291 W Casa Blanca Rd
Hu Hu Kam Memorial Hospital
Sacaton, AZ 85147-0038
Phone (520) 562-3323

4530 E Muirwood Dr
Suite 105
Phoenix, AZ 85048-7693
Phone (480) 961-2303

483 W Seed Farm Rd
Sacaton, AZ 85147-0038

Hospital & facility affiliations

  • Huhu Kam Memorial Hospital Hospital, Sacaton, AZ, CCN 031308
  • Chandler Regional Medical Center Hospital, Chandler, AZ, CCN 030036
  • Dignity Health Arizona General Hospital Hospital, Mesa, AZ, CCN 030139

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224126AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aia Hospitalists LLC Single Specialty CurrentSince May 1, 2024 Accepting new patients
Gila River Health Care Corporation Single Specialty Current Accepting new patients
Gila River Health Care CurrentSince Oct 8, 2020 Accepting new patients
Gila River Health Care CurrentSince Oct 8, 2020 Accepting new patients
Gila River Health Care Corporation Single Specialty Current Accepting new patients

Locations

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

4530 E Muirwood Dr
Ste 105
Phoenix, AZ 85048
Phone (480) 961-2303

Organizations & group practices 5

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 12

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": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1669939641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 N SWAN RD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126301",
            "telephone_number": "520-382-5972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 N SWAN RD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126301",
            "telephone_number": "520-382-5972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGOSO",
        "first_name": "ARLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-26",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "deactivation_date": "2019-04-21",
        "reactivation_date": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "224126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.