Nina A Ulrich, WHNP
Individual provider Active NPI Obstetrics & Gynecology Nurse Practitioner · Suprise, AZ
NPI 1790955409 · NPPES record last updated Apr 15, 2013
Key facts
- NPI
- 1790955409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner 363LX0001X
- License
- RN062482 (AZ)
- Practice address
- 15351 W. Bell Rd.
Suprise, AZ 85374 - Phone
- (877) 809-5092
- Fax
- (877) 809-5092
- NPI assigned
- Mar 10, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Adelante Healthcare, Inc
Practice addresses (Care Compare)
15317 W Bell Rd
Suite 100
Surprise, AZ 85374-3900
Phone (877) 809-5092
15351 W Bell Rd
Surprise, AZ 85374-4580
Phone (877) 809-5092
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110311000325 | AZ | Practitioner - Nurse Practitioner | 2961684915 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adelante Healthcare, Inc. | Current |
Accepting new patients | |
| Adelante Healthcare, Inc. | Current | Accepting new patients | |
| Adelante Healthcare, Inc | Current |
Accepting new patients | |
| Adelante Healthcare, Inc. | Past | Accepting new patients |
Locations
3400 N Dysart Rd
Ste 121
Avondale, AZ 85392
3400 N Dysart Rd
Ste F121
Avondale, AZ 85392
Phone (623) 792-8397
306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814
13471 W Cornerstone Blvd
Goodyear, AZ 85395
2740 S Alma School Rd
Mesa, AZ 85210
Phone (480) 491-6235
1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769
15525 N 83rd Ave
Ste 104
Peoria, AZ 85382
3033 N Central Ave
Ste 145
Phoenix, AZ 85012
500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222
7725 N 43rd Ave
Ste 510
Phoenix, AZ 85051
Phone (623) 207-5465
9520 W Palm Ln
Ste 200
Phoenix, AZ 85037
Phone (623) 556-8860
15317 W Bell Rd
Ste 100
Surprise, AZ 85374
15351 W Bell Rd
Ste 100
Surprise, AZ 85374
Phone (623) 872-2226
15351 W Bell Rd
Surprise, AZ 85374
811 N Tegner St
Wickenburg, AZ 85390
Phone (928) 684-9555
811 N Tegner St
Ste 113
Wickenburg, AZ 85390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | RN062482 | AZ | Yes |
Addresses
Primary practice location
15351 W. Bell Rd.
Suprise, AZ 85374
Mailing address
9520 W Palm LN
Ste 200
Phoenix, AZ 85037-4403
Phone (623) 556-8860
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197352 | Medicaid | AZ |
Other names
- Nina A Rucker
Other providers in Suprise, AZ
All providers in Suprise, AZ · Obstetrics & Gynecology Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.