Individual provider Active NPI

Rachel Alyssa Clare, APRN

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1952927683
Registry record updated Aug 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226688 Issued in AZ
Practice address
3690 S Park Ave Ste 805
Tucson, AZ 85713-5042
Phone
(520) 616-6760
Fax
(520) 616-6799
NPI assigned
Jun 18, 2020
Last updated
Aug 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 226688 AZ Primary

Addresses

Primary practice location

3690 S Park Ave Ste 805
Tucson, AZ 85713-5042

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111

Other identifiers 1

IdentifierTypeStateIssuer
079911MedicaidAZ

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
I20200917001570 AZ Practitioner - Nurse Practitioner 2769800085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
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)

1323 W Prince Rd
Tucson, AZ 85705-3114
Phone (520) 887-0800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
226688AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marana Health Center Inc CurrentSince Jun 3, 2021 Accepting new patients
Marana Health Center, Inc Family CurrentSince Jun 3, 2021 Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

1323 W Prince Rd
Tucson, AZ 85705
Phone (520) 887-0800

2945 W Ina Rd
Ste 215
Tucson, AZ 85741

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

Interoperability endpoints

  • Direct secure messaging: rachel.clare.1@32652.direct.athenahealth.com
  • Direct secure messaging: rachel.clare@1278.direct.myezyaccess.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, 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": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1952927683",
    "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": "3690 S PARK AVE STE 805",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135042",
            "telephone_number": "520-616-6760",
            "fax_number": "520-616-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARE",
        "first_name": "RACHEL",
        "middle_name": "ALYSSA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "226688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079911",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.