Active NPI
Tony Nazario, A.P.R.N.
- Family Nurse Practitioner
- Surprise, AZ
National Provider Identifier
1730413063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10514
- Practice address
- 15021 W Bell Rd
Surprise, AZ 85374-3916 - Phone
- (623) 476-7880
- NPI assigned
- Sep 18, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP10514 | AZ | Primary |
Addresses
Primary practice location
15021 W Bell Rd
Surprise, AZ 85374-3916
Mailing address
3829 E Monte Cristo Ave
Phoenix, AZ 85032
Phone (602) 663-2808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4212 N 16TH St
Phoenix, AZ 85016-5319
Phone (602) 263-1200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP10514 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients |
Locations
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
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.
-
dba Phoenix Indian Medical Center
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
dba Ak-Chin Clinic
- Public Health or Welfare Agency
- Maricopa, AZ
- NPI 1538043443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1730413063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3829 E MONTE CRISTO AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85032",
"telephone_number": "602-663-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15021 W BELL RD",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853743916",
"telephone_number": "623-476-7880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAZARIO",
"first_name": "TONY",
"credential": "A.P.R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-18",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP10514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.