Charissa M Kamps, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP4219 Issued in AZ

Practice address

3870 W River Rd Ste 126
Tucson, AZ 85741-3080

Phone

(520) 219-6616

Fax

(520) 742-6187

NPI assigned

Feb 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

Practice addresses (Care Compare)

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.

• Northwest Urgent Care LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1528683455
  Medicare reassignment Care Compare group NPD
• Southern Arizona Urgent Care LLC

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1285994004
  Medicare reassignment NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Aleknagik North, AK
  • NPI 1235291246

  TX

  Medicare reassignment NPD
• Southern Arizona Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1386003788
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Koliganek, AK
  • NPI 1013079607
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Ekwok, AK
  • NPI 1104988799
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Pilot Point, AK
  • NPI 1174683825
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Platinum, AK
  • NPI 1285796870
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Levelock, AK
  • NPI 1366502767
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • South Naknek, AK
  • NPI 1417018193
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Twin Hills, AK
  • NPI 1487716825
  NPD
• Bristol Bay Area Health Corporation

  • Clinic/Center
  • Perryville, AK
  • NPI 1528128782
  NPD

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1821361650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 W RIVER RD STE 126",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413080",
            "telephone_number": "520-219-6616",
            "fax_number": "520-742-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 W RIVER RD STE 126",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413080",
            "telephone_number": "520-219-6616",
            "fax_number": "520-742-6187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4001 E SUNRISE DR",
            "address_2": "# 121",
            "address_purpose": "LOCATION",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85718",
            "country_code": "US",
            "telephone_number": "520-682-4111 x6247",
            "fax_number": "520-818-3630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1323 W Prince Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857053114",
            "country_code": "US",
            "telephone_number": "520-887-0800",
            "fax_number": "520-887-1393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMPS",
        "first_name": "CHARISSA",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-09",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN113854",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "charissa.kamps.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR email",
            "address_1": "3870 W River Rd Ste 126",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel C. Kamimura, DPT
• Michael Adam Kaminski, PHARMD
• Kammy Willems, LCSW, LLC.
• Aaron Ross Kamp, D.D.S.
• Jonathan Robert Kampa, LPC
• Catherine Kamwithi
• Ragad Kanawati, DDS
• Jonathan Kandell
• Barbara Kane, NP
• Donald Lee Kane, DO

• Family Nurse Practitioner in Tucson, AZ
• Providers in Tucson, 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 Sep 14, 2021; 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.