Individual provider Active NPI

Coy Collins, NP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1861956054
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218603 Issued in AZ
Practice address
4764 E Sunrise Dr # 787
Tucson, AZ 85718-4535
Phone
(520) 775-2655
NPI assigned
Jan 22, 2019
Last updated
Jan 28, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 218603 AZ
Family Nurse Practitioner 363LF0000X 218603 AZ Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 218603 AZ

Addresses

Primary practice location

4764 E Sunrise Dr # 787
Tucson, AZ 85718-4535

Mailing address

4764 E Sunrise Dr # 787
Tucson, AZ 85718-4535

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
I20190415002982 AZ Practitioner - Nurse Practitioner 5991046294 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218603AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cothrom Health LLC Family CurrentSince Jan 1, 2025 Accepting new patients
Arizona Rehab Campus, LLC Past Accepting new patients

Locations

4764 E Sunrise Dr
Tucson, AZ 85718
Phone (520) 235-6656

Interoperability endpoints

  • Direct secure messaging: ccollins18131@elrio.direct.ci.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1861956054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4764 E SUNRISE DR # 787",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4764 E SUNRISE DR # 787",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857184535",
            "telephone_number": "520-775-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "COY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-22",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "218603",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "218603",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "218603",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.