Individual provider Active NPI

Joyce Marie Prosen, FNP-C

  • Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1780346874
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
269863 Issued in AZ
Practice address
4039 E Glenn St
Tucson, AZ 85712-1517
Phone
(520) 247-2283
NPI assigned
Oct 6, 2021
Last updated
Jul 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X RN137398 AZ
Nurse Practitioner 363L00000X 269863 AZ Primary

Addresses

Primary practice location

4039 E Glenn St
Tucson, AZ 85712-1517

Mailing address

4039 E Glenn St
Tucson, AZ 85712-1517
Phone (520) 247-2283

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
I20220817003337 AZ Practitioner - Nurse Practitioner 8729461116 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Banner-University Medical GroupGroup PAC ID 7719899871, 1,066 clinicians
Cep America-Arizona LLPGroup PAC ID 2668903006, 30 clinicians

Practice addresses (Care Compare)

1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3840

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN137398AZMDEmergency Registered Nurse
269863AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner-University Medical Group CurrentSince Sep 21, 2025 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Nurse Practitioner CurrentSince May 1, 2022 Accepting new patients
Cep America-Arizona LLP CurrentSince Oct 10, 2024 Accepting new patients
Banner-University Medical Group CurrentSince Sep 21, 2025 Accepting new patients

Locations

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

7401 S Wilmot Rd
Tucson, AZ 85756
Phone (520) 493-0499

1625 N Campbell Ave
Tucson, AZ 85719

2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

Organizations & group practices 4

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 4

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1780346874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4039 E GLENN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121517",
            "telephone_number": "520-247-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4039 E GLENN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857121517",
            "telephone_number": "520-247-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSEN",
        "first_name": "JOYCE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "AZ",
            "license": "RN137398",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "269863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.