Individual provider Active NPI

Dejan Dukic, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1952736308
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP10171 Issued in AZ
Practice address
7410 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone
(520) 742-9166
Fax
(520) 742-9146
NPI assigned
Sep 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP10171 AZ Primary

Addresses

Primary practice location

7410 N la Cholla Blvd
Tucson, AZ 85741-2306

Mailing address

7410 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone (520) 742-9166

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
I20170922001538 AZ Practitioner - Nurse Practitioner 8527293075 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Internists of Tucson PLLCGroup PAC ID 1759349988, 7 clinicians

Practice addresses (Care Compare)

2221 N Rosemont Blvd
Tucson, AZ 85712-2113
Phone (520) 881-2323

603 N Wilmot Rd
Suite 201
Tucson, AZ 85711-2701
Phone (520) 729-1311

7410 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone (520) 742-9166

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Internists of Tucson, PLLC CurrentSince Oct 18, 2024 Accepting new patients
Miguel a. Arenas, M.D., PC CurrentSince Aug 1, 2017 Accepting new patients
Dejan Dukic Pmhnp- BC Psychiatric/Mental Health CurrentSince Apr 1, 2025 Accepting new patients
Arizona Total Care LLC PastSince Jun 23, 2025 Accepting new patients
U2Rworthit1 LLC PastSince Oct 21, 2025 Accepting new patients

Locations

603 N Wilmot Rd
Ste 201
Tucson, AZ 85711
Phone (520) 729-1311

7445 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 722-0744

2221 N Rosemont Blvd
Tucson, AZ 85712
Phone (520) 881-2323

7410 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 639-8576

Interoperability endpoints

  • Direct secure messaging: dejan.dukic.p1@direct.caremorewest.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1378252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1952736308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-742-9166",
            "fax_number": "520-742-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-742-9166",
            "fax_number": "520-742-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKIC",
        "first_name": "DEJAN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-04",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.