Individual provider Active NPI

Maria Elena Nickel, FNP-C

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1760021042
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
235702 Issued in AZ
Practice address
450 W Paseo Redondo
Tucson, AZ 85701-8274
Phone
(520) 670-3909
Fax
(520) 309-2560
NPI assigned
Jan 3, 2020
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 235702 AZ Primary

Addresses

Primary practice location

450 W Paseo Redondo
Tucson, AZ 85701-8274

Mailing address

450 W Paseo Redondo
Tucson, AZ 85701-8274
Phone (520) 670-3909

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
I20200220001167 AZ Practitioner - Nurse Practitioner 1254767700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

630 N Alvernon Way
Suite 161
Tucson, AZ 85711-1895
Phone (520) 318-9222

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health Recovery and Wellness Current Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Mar 9, 2026 Accepting new patients
Codac Health Recovery and Wellness CurrentSince Feb 1, 2020 Accepting new patients
Codac Health, Recovery & Wellness, Inc. CurrentSince Feb 1, 2020 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Mar 9, 2026 Accepting new patients

Locations

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

1650 E Fort Lowell Rd
Ste 202
Tucson, AZ 85719
Phone (520) 202-1759

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

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

4585 E Speedway Blvd
Bldg 1
Tucson, AZ 85712

630 N Alvernon Way
Ste 161
Tucson, AZ 85711
Phone (520) 318-9222

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

Interoperability endpoints

  • Direct secure messaging: maria.nickel@mmcodachrw.contexture.medalliesmail.com

Organizations & group practices 6

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": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1760021042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 W PASEO REDONDO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857018274",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 W PASEO REDONDO",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857018274",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "235702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.