Individual provider Active NPI

Wanda Pamela Garcia Macias, FNP

  • Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1861183162
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
292954 Issued in AZ
Practice address
2851 S Avenue B BLDG 20
Yuma, AZ 85364-7726
Phone
(928) 336-2434
Fax
(928) 336-2435
NPI assigned
May 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN212958 AZ
Nurse Practitioner 363L00000X 292954 AZ Primary

Addresses

Primary practice location

2851 S Avenue B BLDG 20
Yuma, AZ 85364-7726

Mailing address

2400 S Avenue a
Yuma, AZ 85364-7127
Phone (928) 344-2000

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
I20230706002718 AZ Practitioner - Nurse Practitioner 0345609558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yuma Regional Medical CenterGroup PAC ID 2062314826, 367 clinicians

Practice addresses (Care Compare)

2851 S Ave B
BLDG 20
Yuma, AZ 85364-7726
Phone (928) 336-2434

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Yuma, AZ, CCN 037192
  • Enhabit Home Health Home health agency, Yuma, AZ, CCN 037280
  • Caring Touch Home Care, LLC Home health agency, Yuma, AZ, CCN 037298
  • Yuma Regional Medical Center Hospital, Yuma, AZ, CCN 030013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
292954AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Yuma Regional Medical Center CurrentSince Jul 2, 2023 Accepting new patients
Yuma Regional Medical Center CurrentSince Jul 2, 2023 Accepting new patients

Locations

2851 S Avenue B
Ste 1201
Yuma, AZ 85364
Phone (928) 329-7000

2851 S Avenue B
Bldg 20
Yuma, AZ 85364
Phone (928) 336-2434

2451 S Avenue A
Ste A104
Yuma, AZ 85364
Phone (928) 336-2164

2400 S Avenue A
Yuma, AZ 85364
Phone (928) 336-7100

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.

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": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1861183162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 S AVENUE A",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647127",
            "telephone_number": "928-344-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 S AVENUE B BLDG 20",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647726",
            "telephone_number": "928-336-2434",
            "fax_number": "928-336-2435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA MACIAS",
        "first_name": "WANDA",
        "middle_name": "PAMELA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN212958",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "292954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.