Individual provider Active NPI

Erica Lynne Eggman, FNP-C

  • Family Nurse Practitioner
  • Oro Valley, AZ
National Provider Identifier
1821536897
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9869 Issued in AZ
Practice address
12480 N Rancho Vistoso Blvd Ste 130
Oro Valley, AZ 85755-1993
Phone
(520) 812-5580
Fax
(520) 812-5581
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9869 AZ Primary

Addresses

Primary practice location

12480 N Rancho Vistoso Blvd Ste 130
Oro Valley, AZ 85755-1993

Mailing address

3677 W Camino Christy
Tucson, AZ 85742-8767
Phone (520) 490-4177

Other identifiers 2

IdentifierTypeStateIssuer
F1216069OtherAZAMERICAN ASSOCIATION OF NURSE PRACTITIONERS
AP9869OtherAZARIZONA STATE BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address revivalwellnesspartners@outlook.com Direct

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
I20180328002754 AZ Practitioner - Nurse Practitioner 3375805583 Reassigns benefits to 1 organization
Practice locations: Tucson, AZ

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC CurrentSince Oct 1, 2022 Accepting new patients
Integrative Medical Associates PC PastSince May 1, 2024 Accepting new patients

Locations

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

11951 N 1st Ave
Oro Valley, AZ 85737
Phone (520) 431-8964

3003 N Central Ave
Ste 1175
Phoenix, AZ 85012
Phone (346) 980-2701

Interoperability endpoints

  • Direct secure messaging: erica.hede.1@1576.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1821536897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3677 W CAMINO CHRISTY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857428767",
            "telephone_number": "520-490-4177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12480 N RANCHO VISTOSO BLVD STE 130",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551993",
            "telephone_number": "520-812-5580",
            "fax_number": "520-812-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGMAN",
        "first_name": "ERICA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9869",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ASSOCIATION OF NURSE PRACTITIONERS",
            "identifier": "F1216069",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA STATE BOARD OF NURSING",
            "identifier": "AP9869",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "revivalwellnesspartners@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "12480 N Rancho Vistoso Blvd Ste 130",
            "city": "Oro Valley",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857551993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.