Individual provider Active NPI

Judith Teresa Yurgel, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Eloy, AZ
National Provider Identifier
1679659916
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP5989 Issued in AZ
Practice address
107 E 4TH St
Eloy, AZ 85131-2506
Phone
(520) 466-7765
Fax
(520) 466-4475
NPI assigned
Oct 30, 2006
Last updated
Dec 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14058 CA
Nurse Practitioner 363L00000X 27 OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP5989 AZ Primary
Registered Nurse 163W00000X 612838 CA
Registered Nurse 163W00000X 044437 OR

Addresses

Primary practice location

107 E 4TH St
Eloy, AZ 85131-2506

Mailing address

PO Box 86537
Tucson, AZ 85754-6537
Phone (520) 721-1887

Other practice location 1

712 N Main St
Pinal Hispanic Councel
Eloy, AZ 85238
Phone (480) 226-1993

Other identifiers 2

IdentifierTypeStateIssuer
Z144374OtherAZMEDICARE PTAN
423583MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040416000249 AZ Practitioner - Nurse Practitioner 7618962077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinal Hispanic CouncilGroup PAC ID 4981742434, 9 clinicians

Practice addresses (Care Compare)

107 E 4TH St
Eloy, AZ 85131-2506
Phone (520) 466-7765

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
612838CAMDRegistered Nurse
044437ORMDRegistered Nurse
14058CAMDOccupational Therapist
27ORMDNurse Practitioner
AP5989AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinal Hispanic Council Incorporated CurrentSince Feb 20, 2011 Accepting new patients
Pinal Hispanic Council Current Accepting new patients
Community Partners Integrated Healthcare, Inc. PastSince Dec 16, 2020 Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Community Partners Integrated Healthcare, Inc. Past Accepting new patients

Locations

1326 W Highway 92
Ste J
Bisbee, AZ 85603
Phone (520) 366-3603

1667 N Trekell Rd
Ste 101
Casa Grande, AZ 85122
Phone (520) 284-5436

556 S Arizona Blvd
Coolidge, AZ 85128
Phone (520) 723-7405

1930 E 11th St
Douglas, AZ 85607
Phone (520) 364-4508

1940 E 11th St
Douglas, AZ 85607
Phone (520) 364-4001

107 E 4th St
Eloy, AZ 85131
Phone (480) 247-7619

712 N Main St
Eloy, AZ 85131
Phone (480) 226-1993

275 N Grand Court Plz
Nogales, AZ 85621
Phone (520) 287-0015

1773 W Saint Marys Rd
Ste 105
Tucson, AZ 85745
Phone (520) 622-8357

Interoperability endpoints

  • Direct secure messaging: judith.yurgel.p1@direct.cpi.nextgenshare.com
  • Direct secure messaging: judith.yurgel@mmphc.contexture.medalliesmail.com

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, 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": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1679659916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 86537",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857546537",
            "telephone_number": "520-721-1887",
            "fax_number": "520-372-7126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E 4TH ST",
            "city": "ELOY",
            "state": "AZ",
            "postal_code": "851312506",
            "telephone_number": "520-466-7765",
            "fax_number": "520-466-4475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "712 N Main St",
            "address_2": "Pinal Hispanic Councel",
            "address_purpose": "LOCATION",
            "city": "Eloy",
            "state": "AZ",
            "postal_code": "85238",
            "country_code": "US",
            "telephone_number": "480-226-1993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YURGEL",
        "first_name": "JUDITH",
        "middle_name": "TERESA",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "14058",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "27",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP5989",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "612838",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "044437",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z144374",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423583",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eloy, AZ

Sources for this page

Verify at the official NPI Registry.