Individual provider Active NPI

Johnna Gigi Hayse, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1962742049
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222971 Issued in AZ
Practice address
7494 N la Cholla Blvd
Tucson, AZ 85741
Phone
(520) 395-0512
Fax
(520) 505-4108
NPI assigned
Feb 26, 2013
Last updated
Nov 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 222971 AZ
Family Nurse Practitioner 363LF0000X 222971 AZ Primary

Addresses

Primary practice location

7494 N la Cholla Blvd
Tucson, AZ 85741

Mailing address

7494 N la Cholla Blvd
Tucson, AZ 85741-2306
Phone (520) 395-0542

Other practice location 1

7494 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 395-0512

Other practice location 2

580 N Camino Mercado Ste 25
Casa Grande, AZ 85122-5757
Phone (520) 395-0512

Other identifiers 1

IdentifierTypeStateIssuer
514328MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA, OR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190526000008 AZ Practitioner - Nurse Practitioner 3779726922 Reassigns benefits to 2 organizations
I20250915000881 WA Practitioner - Nurse Practitioner 3779726922 Reassigns benefits to 1 organization
I20260318003546 OR Practitioner - Nurse Practitioner 3779726922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Practice addresses (Care Compare)

1650 N Santa Rosa Ave
Tucson, AZ 85712-4039
Phone (520) 795-1610

848 W Orchard Dr
Bellingham, WA 98225-1758
Phone (847) 504-5000

9000 SW 91St Ave
Tigard, OR 97223-6809
Phone (847) 504-5000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222971AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Sports and Spine LLC CurrentSince Apr 16, 2019 Accepting new patients
Preferred Podiatry Group PC CurrentSince Aug 1, 2025 Accepting new patients

Locations

18861 S La Canada Dr
Sahuarita, AZ 85629
Phone (520) 407-5400

1650 N Santa Rosa Ave
Tucson, AZ 85712
Phone (520) 795-1610

5860 N La Cholla Blvd
Ste 150
Tucson, AZ 85741

7494 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 544-0906

9000 SW 91st Ave
Tigard, OR 97223
Phone (503) 445-4363

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, 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": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1962742049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7494 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412306",
            "telephone_number": "520-395-0542",
            "fax_number": "520-505-4108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7494 N LA CHOLLA BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85741",
            "telephone_number": "520-395-0512",
            "fax_number": "520-505-4108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7494 N La Cholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "85741",
            "country_code": "US",
            "telephone_number": "520-395-0512",
            "fax_number": "520-505-4108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "580 N Camino Mercado Ste 25",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225757",
            "country_code": "US",
            "telephone_number": "520-395-0512",
            "fax_number": "520-505-4108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYSE",
        "first_name": "JOHNNA",
        "middle_name": "GIGI",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "AZ",
            "license": "222971",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "222971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "514328",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.