Individual provider Active NPI

Jessica Cuevas, APRN

  • Acute Care Nurse Practitioner
  • El Mirage, AZ
National Provider Identifier
1700539384
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
269844 Issued in AZ
Practice address
15235 N Dysart Rd Ste 103
El Mirage, AZ 85335-9738
Phone
(602) 569-3999
NPI assigned
Feb 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 269844 AZ Primary

Addresses

Primary practice location

15235 N Dysart Rd Ste 103
El Mirage, AZ 85335-9738

Mailing address

15880 W Anasazi St
Goodyear, AZ 85338-3355

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
I20220405000631 AZ Practitioner - Nurse Practitioner 3476949215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinica la Familia PCGroup PAC ID 4082694781, 38 clinicians

Practice addresses (Care Compare)

15235 N Dysart Rd
El Mirage, AZ 85335-9738
Phone (602) 569-3999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
269844AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica la Familia, PC CurrentSince Feb 22, 2022 Accepting new patients
Desert Kidney Associates PLC Past Accepting new patients

Locations

301 E Cottonwood Ln
Ste 1
Casa Grande, AZ 85122
Phone (520) 421-7100

15235 N Dysart Rd
Ste 103
El Mirage, AZ 85335

15235 N Dysart Rd
El Mirage, AZ 85335

7734 N 59th Ave
Glendale, AZ 85301
Phone (602) 371-2515

4250 W Baseline Rd
Laveen, AZ 85339

616 E Southern Ave
Ste 103
Mesa, AZ 85204

1533 E Willetta St
Phoenix, AZ 85006
Phone (602) 606-7653

13402 N 32nd St
Ste 5
Phoenix, AZ 85032
Phone (623) 931-2444

1315 W Southern Ave
Tempe, AZ 85282
Phone (480) 545-1100

Interoperability endpoints

  • Direct secure messaging: jessica.cuevas@237407481626628.direct.elationemr.com

Organizations & group practices 2

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": "1643760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1700539384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15880 W ANASAZI ST",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853383355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15235 N DYSART RD STE 103",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853359738",
            "telephone_number": "602-569-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUEVAS",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-02",
        "last_updated": "2024-04-30",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "269844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Mirage, AZ

Sources for this page

Verify at the official NPI Registry.