Active NPI
Laura Sandra Willingmyre, MD
- Internal Medicine Physician
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 43889
- Practice address
- 2355 N Wyatt Dr Ste 101
Tucson, AZ 85712-2120 - Phone
- (520) 616-4948
- Fax
- (520) 616-4958
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 43889 | AZ | Primary |
Addresses
Primary practice location
2355 N Wyatt Dr Ste 101
Tucson, AZ 85712-2120
Mailing address
PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1209701 | Medicaid | NJ |
Other names 1
- Sandra Willingmyre
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://renewedmedicalhealth.com |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Jefferson Medical College of Thomas Jefferson University, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3690 S Park Ave
Tucson, AZ 85713-5042
Phone (520) 616-6760
899 N Wilmot Rd
Tucson, AZ 85711-1712
Phone (520) 290-1100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43889 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marana Health Center, Inc | Internal Medicine | Current | Accepting new patients |
| Renewed Medical Health | Current | Accepting new patients | |
| Marana Health Center Inc | Current | Accepting new patients | |
| Marana Health Center, Inc | Past | Accepting new patients | |
| Marana Health Center, Inc | Past | Accepting new patients |
Locations
2825 E Broadway Blvd
Tucson, AZ 85716
Phone (520) 298-0005
2355 N Wyatt Dr
Ste 101
Tucson, AZ 85712
Phone (520) 616-4948
3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560
899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100
Interoperability endpoints
- laura.willingmyre.1@32652.direct.athenahealth.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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Marana, AZ
- NPI 1447263405
Internal Medicine
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1396512034
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1366821068
-
- Clinic Pharmacy
- Tucson, AZ
- NPI 1073072450
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1295986735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743033600000",
"number": "1699856534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "MARANA",
"state": "AZ",
"postal_code": "856530188",
"telephone_number": "520-682-4111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2355 N WYATT DR STE 101",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122120",
"telephone_number": "520-616-4948",
"fax_number": "520-616-4958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLINGMYRE",
"first_name": "LAURA",
"middle_name": "SANDRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2025-03-27",
"certification_date": "2025-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "43889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1209701",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://renewedmedicalhealth.com",
"affiliation": "N",
"address_1": "2825 E Broadway Blvd",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857165309",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SANDRA",
"last_name": "WILLINGMYRE",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.