Active NPI
Cecilia Adaora Nwakpuda, APRN
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 254598
- Practice address
- 899 N Wilmot Rd Ste B
Tucson, AZ 85711-1712 - Phone
- (520) 290-1100
- Fax
- (520) 290-8997
- NPI assigned
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5378685062 | KS | |
| Family Nurse Practitioner | 363LF0000X | 254598 | AZ | Primary |
Addresses
Primary practice location
899 N Wilmot Rd Ste B
Tucson, AZ 85711-1712
Mailing address
PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111
Other practice location 1
2200 SW Gage Blvd
Topeka, KS 66622-0001
Phone (785) 350-3111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53-78685-062 | Other | KS | KSBN |
| 088273 | Medicaid | AZ |
Other names 1
- Mrs. Cecilia A Nwakpuda
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
899 N Wilmot Rd
Suite B
Tucson, AZ 85711-1712
Phone (520) 290-1100
Hospital & facility affiliations
- Tucson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5378685062 | KS | MD | Nurse Practitioner |
| 254598 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marana Health Center Inc | Current | Accepting new patients | |
| Marana Health Center, Inc | Family | Current | Accepting new patients |
| Marana Health Center, Inc | Past | Accepting new patients | |
| Marana Health Center, Inc | Past | Accepting new patients |
Locations
13395 N Marana Main St
Marana, AZ 85653
Phone (520) 616-6200
2355 N Wyatt Dr
Ste 101
Tucson, AZ 85712
Phone (520) 616-4948
899 N Wilmot Rd
Ste B
Tucson, AZ 85711
Phone (520) 290-1100
3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560
2945 W Ina Rd
Ste 215
Tucson, AZ 85741
Interoperability endpoints
- cecilia.nwakpuda@1278.direct.myezyaccess.com
- cecilia.nwakpuda.1@32652.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1396512034
-
- Clinic Pharmacy
- Tucson, AZ
- NPI 1073072450
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1295986735
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1174512792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1922633718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "MARANA",
"state": "AZ",
"postal_code": "856530188",
"telephone_number": "520-682-4111",
"fax_number": "520-818-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "899 N WILMOT RD STE B",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857111712",
"telephone_number": "520-290-1100",
"fax_number": "520-290-8997"
}
],
"practiceLocations": [
{
"address_1": "2200 SW Gage Blvd",
"address_purpose": "LOCATION",
"city": "Topeka",
"state": "KS",
"postal_code": "666220001",
"country_code": "US",
"telephone_number": "785-350-3111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NWAKPUDA",
"first_name": "CECILIA",
"middle_name": "ADAORA",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-11",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KS",
"license": "5378685062",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "254598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KSBN",
"identifier": "53-78685-062",
"state": "KS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "088273",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CECILIA",
"last_name": "NWAKPUDA",
"middle_name": "A",
"prefix": "MRS.",
"credential": "APRN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.