Individual provider Active NPI

Lindsey Ann Polcari

  • Family Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1710659230
Registry record updated May 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN186886 Issued in AZ
Practice address
198 S Coronado Dr
Sierra Vista, AZ 85635-6354
Phone
(520) 220-5020
NPI assigned
Oct 3, 2021
Last updated
May 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN186886 AZ Primary

Addresses

Primary practice location

198 S Coronado Dr
Sierra Vista, AZ 85635-6354

Mailing address

198 S Coronado Dr
Sierra Vista, AZ 85635-6354
Phone (520) 220-5020

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
I20221118001860 AZ Practitioner - Nurse Practitioner 3870961063 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
Southwest Cancer Care LLCGroup PAC ID 8628328796, 6 clinicians

Practice addresses (Care Compare)

198 S Coronado Dr
Suite a
Sierra Vista, AZ 85635-6357
Phone (520) 220-5020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.79 of 100Reported as group
Quality
99.62
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN186886AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Cancer Care LLC CurrentSince Oct 1, 2022 Accepting new patients

Locations

198 S Coronado Dr
Ste A
Sierra Vista, AZ 85635
Phone (520) 220-5020

2250 El Mercado Loop
Sierra Vista, AZ 85635
Phone (520) 220-5020

Interoperability endpoints

  • Direct secure messaging: lindsey.polcari@southwestcancercare.ikm.direct-ci.com

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652572800000",
    "number": "1710659230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 S CORONADO DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356354",
            "telephone_number": "520-220-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 S CORONADO DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856356354",
            "telephone_number": "520-220-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLCARI",
        "first_name": "LINDSEY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-03",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN186886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.