Individual provider Active NPI

Raelynne Wiest

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1720756992
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
303886 Issued in AZ
Practice address
2424 N Wyatt Dr Ste 140
Tucson, AZ 85712-6115
Phone
(520) 324-4690
Fax
(520) 324-4691
NPI assigned
Sep 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 303886 AZ Primary
Family Nurse Practitioner 363LF0000X 303886 CA

Addresses

Primary practice location

2424 N Wyatt Dr Ste 140
Tucson, AZ 85712-6115

Mailing address

2424 N Wyatt Dr
Tucson, AZ 85712-6115
Phone (520) 324-4690

Other practice location 1

320 W Prince Rd
Tucson, AZ 85705-3526
Phone (520) 670-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211210001977 CA Practitioner - Nurse Practitioner 3375933005 Reassigns benefits to 2 organizations
I20240717003100 AZ Practitioner - Nurse Practitioner 3375933005 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Urgent CareGroup PAC ID 7416295688, 13 clinicians
El Rio Santa Cruz Neighborhood Health Center, Inc.Group PAC ID 6305739244, 283 clinicians

Practice addresses (Care Compare)

2424 N Wyatt Dr
Suite 140
Tucson, AZ 85712-6119
Phone (520) 324-4690

3655 E Grant Rd
Tucson, AZ 85716-2933
Phone (520) 670-3909

7490 S Camino de Oeste
Tucson, AZ 85746-9308
Phone (520) 670-3909

839 W Congress St
Tucson, AZ 85745-2819
Phone (520) 670-3909

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

Merit-based Incentive Payment System (MIPS)

Final score
92.59 of 100Reported as group
Quality
99.8
Promoting interoperability
100
Improvement activities
40
Cost
75.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303886AZMDFamily Nurse Practitioner
303886CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifelong Medical Care CurrentSince Oct 4, 2021 Accepting new patients
TMC Urgent Care CurrentSince Aug 1, 2024 Accepting new patients
Lifelong Medical Care CurrentSince Oct 4, 2021 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Nov 1, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Current Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Nov 1, 2025 Accepting new patients
Lyon-Martin Community Health Services CurrentSince May 27, 2023 Accepting new patients
Cactus Wren Health Collective LLC Family Current Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Past Accepting new patients
TMC Urgent Care PastSince Aug 4, 2024 Accepting new patients

Locations

2424 N Wyatt Dr
Ste 140
Tucson, AZ 85712
Phone (520) 324-4690

320 W Prince Rd
Tucson, AZ 85705
Phone (520) 838-7663

10350 E Drexel Rd
Unit 170
Tucson, AZ 85747
Phone (520) 324-8070

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

2344 6th St
Berkeley, CA 94710
Phone (510) 981-3203

10700 MacArthur Blvd
Ste 14B
Oakland, CA 94605
Phone (510) 563-4300

Interoperability endpoints

  • Direct secure messaging: rwiest35518@elrio.direct.ci.com

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 1

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": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1720756992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 N WYATT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126115",
            "telephone_number": "520-324-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 N WYATT DR STE 140",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126115",
            "telephone_number": "520-324-4690",
            "fax_number": "520-324-4691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 W Prince Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857053526",
            "country_code": "US",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIEST",
        "first_name": "RAELYNNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "303886",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "303886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.