NPIMap

Individual provider Active NPI

Theodore J Bollard, ARNP-FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1760069686
Registry record updated Apr 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
247749 Issued in AZ
Practice address
400 W Magee Rd
Tucson, AZ 85704-6438
Phone
(520) 638-5553
NPI assigned
Mar 26, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2026

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 247749 AZ Primary

Addresses

Primary practice location

400 W Magee Rd
Tucson, AZ 85704-6438

Mailing address

400 W Magee Rd
Tucson, AZ 85704-6438
Phone (520) 638-5553

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 AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211206002818 AZ Practitioner - Nurse Practitioner 3476943465 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Urgent Care 13 clinicians
Pima Neurology Inc 3 clinicians
El Rio Santa Cruz Neighborhood Health Center, Inc. 283 clinicians

Practice addresses (Care Compare)

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

400 W Magee Rd
Tucson, AZ 85704-6438
Phone (520) 638-5553

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

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247749AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
TMC Urgent Care CurrentSince Mar 1, 2023 Accepting new patients
Pima Neurology Inc CurrentSince Nov 1, 2021 Accepting new patients

Locations

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

10350 E Drexel Rd
Ste 1
Tucson, AZ 85747

400 W Magee Rd
Tucson, AZ 85704
Phone (520) 623-5553

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

Organizations & group practices 19

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 19

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": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775260800000",
    "number": "1760069686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MAGEE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046438",
            "telephone_number": "520-638-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W MAGEE RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046438",
            "telephone_number": "520-638-5553"
        }
    ],
    "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": "BOLLARD",
        "first_name": "THEODORE",
        "middle_name": "J",
        "credential": "ARNP-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-26",
        "last_updated": "2026-04-04",
        "certification_date": "2026-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "247749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.