Eugenia L Kereluk, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F07170129 Issued in AZ

Practice address

1581 S 6TH Ave
Yuma, AZ 85364-4684

Phone

(928) 343-0488

Fax

(928) 782-0401

NPI assigned

Jul 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Em-I Medical Services PCGroup PAC ID 8325034812, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Arizona Em-I Medical Services PC

  • Physician Assistant
  • Yuma, AZ
  • NPI 1144768862
  Medicare reassignment Care Compare group NPD
• Yuma Regional Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yuma Regional Medical Center

  • General Acute Care Hospital
  • Yuma, AZ
  • NPI 1194706655
  Care Compare affiliation

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1760904015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 S 6TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644684",
            "telephone_number": "928-343-0488",
            "fax_number": "928-782-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 S 6TH AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644684",
            "telephone_number": "928-343-0488",
            "fax_number": "928-782-0401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2377 S 22nd Dr",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853648865",
            "country_code": "US",
            "telephone_number": "928-343-0488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "284 W 32nd St",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853648152",
            "country_code": "US",
            "telephone_number": "928-341-4563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11279 S Glenwood Ave",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "853675885",
            "country_code": "US",
            "telephone_number": "928-341-4563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERELUK",
        "first_name": "EUGENIA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F07170129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kruthi Kelur, M.D
• Ahmed Kemmou, MD
• Jennifer Kempton, LMSW
• John David Kempton, DDS, MS
• Hannah Kendrick, ATC
• Tanishq Kesani, M.D.
• Kesegoftse Ketshabile-Nkobela, PHARM.D
• Mohamad Khalil, MD
• Mohammad Mushtaq Khan, M.D.
• Rabia Khan

• Family Nurse Practitioner in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.

Verify at the official NPI Registry.