Individual provider Active NPI

Michelle Rafferty, NP

  • Adult Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1770715070
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP3427 Issued in AZ
Practice address
3901 W Oasis Dr
Tucson, AZ 85742-9513
Phone
(520) 940-1119
Fax
(520) 744-6697
NPI assigned
Aug 20, 2009
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP3427 AZ Primary
Gerontology Nurse Practitioner 363LG0600X AP3427 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP3427 AZ
Registered Nurse 163W00000X RN125196 AZ

Addresses

Primary practice location

3901 W Oasis Dr
Tucson, AZ 85742-9513

Mailing address

3901 W Oasis Dr
Tucson, AZ 85742-9513
Phone (520) 940-1119

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
I20090924000142 AZ Practitioner - Nurse Practitioner 7810043353 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3901 W Oasis Dr
Tucson, AZ 85742-9513
Phone (520) 940-1119

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.25 of 100Reported as individual
Quality
52.61
Improvement activities
40
Cost
74.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN125196AZMDRegistered Nurse
AP3427AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Harmony Hospice of Tucson CurrentSince Jul 1, 2022 Accepting new patients
At Home Medical Care LLC CurrentSince Jun 30, 2010 Accepting new patients

Locations

1200 N El Dorado Pl
Ste B200
Tucson, AZ 85715
Phone (520) 284-9334

Interoperability endpoints

  • Direct secure messaging: michelle.rafferty.1@31833.direct.athenahealth.com
  • Direct secure messaging: michelle.rafferty.1@3882.direct.athenahealth.com
  • Direct secure messaging: nelson.sandoval.1@3882.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1770715070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 W OASIS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429513",
            "telephone_number": "520-940-1119",
            "fax_number": "520-744-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W OASIS DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429513",
            "telephone_number": "520-940-1119",
            "fax_number": "520-744-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP3427",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AP3427",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP3427",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN125196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.