Individual provider Active NPI

Geraldine Liban, RN

  • Family Nurse Practitioner
  • Bullhead City, AZ
National Provider Identifier
1932861366
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
270797 Issued in AZ
Practice address
3735 Arizona 95
Bullhead City, AZ 86442-5388
Phone
(928) 444-1444
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN211377 AZ
Family Nurse Practitioner 363LF0000X 100459 GU
Family Nurse Practitioner 363LF0000X 270797 AZ Primary

Addresses

Primary practice location

3735 Arizona 95
Bullhead City, AZ 86442-5388

Mailing address

3735 Arizona 95
Bullhead City, AZ 86442
Phone (928) 444-1444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, GU2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220412001167 AZ Practitioner - Nurse Practitioner 5799171161 Reassigns benefits to 1 organization
I20250723004264 GU Practitioner - Nurse Practitioner 5799171161 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians

Practice addresses (Care Compare)

133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500

3870 W River Rd
Suite 126
Tucson, AZ 85741-3080
Phone (520) 219-6616

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
50.84 of 100Reported as group
Quality
7.69
Promoting interoperability
100
Improvement activities
0
Cost
78.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN211377AZMDRegistered Nurse
270797AZMDFamily Nurse Practitioner
100459GUMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Guam Healthcare Development Incorporated CurrentSince Jun 30, 2025 Accepting new patients
Northwest Urgent Care LLC CurrentSince Nov 27, 2023 Accepting new patients

Locations

3699 Highway 95
Ste 50050
Bullhead City, AZ 86442

3699 Highway 95
Ste 500
Bullhead City, AZ 86442
Phone (928) 278-6211

3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000

133 Route 3
Dededo, GU 96929
Phone (671) 645-5500

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 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": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1932861366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3735 ARIZONA 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "86442",
            "telephone_number": "928-444-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 ARIZONA 95",
            "city": "BULLHEAD CITY",
            "state": "AZ",
            "postal_code": "864425388",
            "telephone_number": "928-444-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIBAN",
        "first_name": "GERALDINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN211377",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GU",
            "license": "100459",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "270797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bullhead City, AZ

Sources for this page

Verify at the official NPI Registry.