Individual provider Active NPI

Rico Andrew Segun, ACNP

  • Acute Care Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1760055099
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
235620 Issued in AZ
Practice address
2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352
Phone
(602) 952-0002
NPI assigned
Jul 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 235620 AZ Primary

Addresses

Primary practice location

2777 E Camelback Rd Ste 200
Phoenix, AZ 85016-4352

Mailing address

8005 W Redbird Rd
Peoria, AZ 85383-6264
Phone (602) 716-1967

Other practice location 1

6036 N 19th Ave Ste 506
Phoenix, AZ 85015-2143
Phone (602) 841-0741

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
I20210908002484 AZ Practitioner - Nurse Practitioner 8628474186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

6036 N 19TH Ave
Suite 505
Phoenix, AZ 85015-2143
Phone (602) 841-0721

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235620AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Aug 6, 2021 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Aug 6, 2021 Accepting new patients

Locations

525 S Watson Rd
Ste 200
Buckeye, AZ 85326
Phone (602) 726-8750

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

3811 E Bell Rd
Ste 300
Phoenix, AZ 85032
Phone (480) 454-7350

6036 N 19th Ave
Ste 506
Phoenix, AZ 85015
Phone (602) 246-5525

1910 E Thomas Rd
Ste 200
Phoenix, AZ 85016

2777 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 952-0002

6036 N 19th Ave
Ste 505
Phoenix, AZ 85015
Phone (602) 249-0839

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.

NPI Registry JSON

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1760055099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8005 W REDBIRD RD",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853836264",
            "telephone_number": "602-716-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2777 E CAMELBACK RD STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164352",
            "telephone_number": "602-952-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6036 N 19th Ave Ste 506",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850152143",
            "country_code": "US",
            "telephone_number": "602-841-0741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGUN",
        "first_name": "RICO",
        "middle_name": "ANDREW",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-23",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "235620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.