Individual provider Active NPI

Cecilia Adaora Nwakpuda, APRN

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1922633718
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
254598 Issued in AZ
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

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
53-78685-062OtherKSKSBN
088273MedicaidAZ

Other names 1

  • Mrs. Cecilia A Nwakpuda Professional name

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
I20210405001604 AZ Practitioner - Nurse Practitioner 2567879778 Reassigns benefits to 1 organization

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
Marana Health Center IncGroup PAC ID 2365348091, 114 clinicians

Practice addresses (Care Compare)

899 N Wilmot Rd
Suite B
Tucson, AZ 85711-1712
Phone (520) 290-1100

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5378685062KSMDNurse Practitioner
254598AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center Inc CurrentSince Mar 24, 2021 Accepting new patients
Marana Health Center, Inc Family CurrentSince Mar 24, 2021 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

  • Direct secure messaging: cecilia.nwakpuda@1278.direct.myezyaccess.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.