Individual provider Active NPI

Katarzyna Wegner, FNP

  • Family Nurse Practitioner
  • Green Valley, AZ
National Provider Identifier
1962801902
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5660 Issued in AZ
Practice address
250 W Continental Rd Ste 500
Green Valley, AZ 85622-3592
Phone
(520) 260-0670
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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 AP5660 AZ Primary

Addresses

Primary practice location

250 W Continental Rd Ste 500
Green Valley, AZ 85622-3592

Mailing address

250 W Continental Rd Ste 500
Green Valley, AZ 85622-3592
Phone (520) 427-6051

Other practice location 1

3832 E Speedway Blvd
Tucson, AZ 85716-4039
Phone (520) 323-3923

Other practice location 2

250 W Continental Rd Ste 500
Green Valley, AZ 85622-3592
Phone (520) 427-6051

Other names 1

  • Katarzyna Cal Former 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
I20141121000962 AZ Practitioner - Nurse Practitioner 0840411443 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

175 S la Canada Dr
Suite 171
Green Valley, AZ 85614-2660
Phone (520) 260-0670

Merit-based Incentive Payment System (MIPS)

Final score
31.08 of 100Reported as individual
Quality
18.8
Improvement activities
0
Cost
78.53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP5660AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Clinical PLLC CurrentSince Dec 1, 2017 Accepting new patients
TMC Urgent Care CurrentSince Mar 1, 2019 Accepting new patients
TMC Urgent Care PastSince Aug 4, 2024 Accepting new patients

Locations

250 W Continental Rd
Ste 500
Green Valley, AZ 85622
Phone (520) 260-0670

175 S La Canada Dr
Ste 171
Green Valley, AZ 85614
Phone (520) 260-0670

2424 N Wyatt Dr
Ste 140
Tucson, AZ 85712
Phone (520) 324-4690

10350 E Drexel Rd
Unit 170
Tucson, AZ 85747
Phone (520) 324-8070

Organizations & group practices 3

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524441600000",
    "number": "1962801902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W CONTINENTAL RD STE 500",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223592",
            "telephone_number": "520-427-6051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W CONTINENTAL RD STE 500",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223592",
            "telephone_number": "520-260-0670"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3832 E Speedway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857164039",
            "country_code": "US",
            "telephone_number": "520-323-3923",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 W Continental Rd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856223592",
            "country_code": "US",
            "telephone_number": "520-427-6051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "KATARZYNA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2018-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATARZYNA",
            "last_name": "CAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.