Individual provider Active NPI

Richelle Ann Radzykewycz, FNP-BC

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1700583341
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
283547 Issued in AZ
Practice address
1981 N Pebble Creek Pkwy Ste 8
Goodyear, AZ 85395-2543
Phone
(602) 675-9005
NPI assigned
Feb 14, 2023
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 283547 AZ Primary
Family Nurse Practitioner 363LF0000X RNP283547 AZ

Addresses

Primary practice location

1981 N Pebble Creek Pkwy Ste 8
Goodyear, AZ 85395-2543

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other practice location 1

7510 W Thomas Rd Ste 104
Phoenix, AZ 85033-5407
Phone (480) 677-8282

Other practice location 2

4035 S Riverpoint Pkwy
Phoenix, AZ 85040-0723
Phone (480) 876-1627

Other identifiers 1

IdentifierTypeStateIssuer
131118MedicaidAZ

Other names 1

  • Richelle Ann Mendoza Tuazon Former name

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
I20230505001277 AZ Practitioner - Nurse Practitioner 0749645216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10249 W Thunderbird Blvd
Suite 100
Sun City, AZ 85351-3113
Phone (702) 480-2550

1981 N Pebble Creek Pkwy
Suite 8
Goodyear, AZ 85395-2543
Phone (602) 675-9005

5830 N 19TH Ave
Phoenix, AZ 85015-2494
Phone (602) 336-1966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283547AZMDFamily Nurse Practitioner
RNP283547AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
4C Medical Group PLC CurrentSince Jun 1, 2023 Accepting new patients
4C Medical Group PLC CurrentSince Jun 1, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 29, 2023 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Oct 29, 2023 Accepting new patients

Locations

16838 E Palisades Blvd
Ste C153
Fountain Hls, AZ 85268
Phone (480) 445-9199

1981 N Pebble Creek Pkwy
Ste 8
Goodyear, AZ 85395

3090 N Litchfield Rd
Goodyear, AZ 85395

3090 N Litchfield Rd
Ste 120
Goodyear, AZ 85395
Phone (602) 843-8426

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

7534 E 2nd St
Scottsdale, AZ 85251
Phone (480) 607-3800

9590 E Ironwood Square Dr
Ste 120
Scottsdale, AZ 85258
Phone (480) 455-3000

9590 E Ironwood Square Dr
Ste 125
Scottsdale, AZ 85258
Phone (480) 272-6400

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

Interoperability endpoints

  • Direct secure messaging: rradzykewycz114296@westdirect.optum.com

Organizations & group practices 4

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1700583341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1981 N PEBBLE CREEK PKWY STE 8",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952543",
            "telephone_number": "602-675-9005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7510 W Thomas Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850335407",
            "country_code": "US",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4035 S Riverpoint Pkwy",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850400723",
            "country_code": "US",
            "telephone_number": "480-876-1627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADZYKEWYCZ",
        "first_name": "RICHELLE ANN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "283547",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP283547",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131118",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHELLE ANN",
            "last_name": "TUAZON",
            "middle_name": "MENDOZA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.