Individual provider Active NPI

Adam Case, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1669967220
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP11703 Issued in AZ
Practice address
1650 E Fort Lowell Rd Ste 202
Tucson, AZ 85719-2378
Phone
(520) 327-4505
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN176137 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP11703 AZ Primary

Addresses

Primary practice location

1650 E Fort Lowell Rd Ste 202
Tucson, AZ 85719-2378

Mailing address

1650 E Fort Lowell Rd Ste 202
Tucson, AZ 85719-2378
Phone (520) 327-4505

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
I20181116002284 AZ Practitioner - Nurse Practitioner 5698029254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Codac Health Recovery and WellnessGroup PAC ID 6103813811, 27 clinicians

Practice addresses (Care Compare)

380 E Fort Lowell Rd
Tucson, AZ 85705-3985
Phone (520) 202-1796

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN176137AZMDRegistered Nurse
AP11703AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health Recovery and Wellness CurrentSince Sep 10, 2018 Accepting new patients
Codac Health, Recovery & Wellness, Inc. CurrentSince Sep 10, 2018 Accepting new patients
Codac Health Recovery and Wellness Current Accepting new patients

Locations

1650 E Fort Lowell Rd
Ste 202
Tucson, AZ 85719
Phone (520) 202-1759

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

380 E Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 202-1786

Interoperability endpoints

  • Direct secure messaging: adam.case.p1@direct.codachrw.nextgenshare.com
  • Direct secure messaging: adam.case@mmcodachrw.contexture.medalliesmail.com

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1669967220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 E FORT LOWELL RD STE 202",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192378",
            "telephone_number": "520-327-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 E FORT LOWELL RD STE 202",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857192378",
            "telephone_number": "520-327-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASE",
        "first_name": "ADAM",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN176137",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP11703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.