Individual provider Active NPI

Sean Chan, DNP, NP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1972123743
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
240415 Issued in AZ
Practice address
1238 W Orange Grove Rd Ste 103
Tucson, AZ 85704-2950
Phone
(520) 297-9060
NPI assigned
Apr 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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 240415 AZ Primary

Addresses

Primary practice location

1238 W Orange Grove Rd Ste 103
Tucson, AZ 85704-2950

Mailing address

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719-1563
Phone (520) 838-3540

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sean.chan@pimaheartandvascular.com

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
I20200507001009 AZ Practitioner - Nurse Practitioner 8628409646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pima Heart Physicians PCGroup PAC ID 6507751294, shared by 2 NPIs, 65 clinicians

Practice addresses (Care Compare)

4475 S I 19 Frontage Rd
Suite 125
Green Valley, AZ 85614-6336
Phone (520) 838-3540

4729 E Camp Lowell Dr
Tucson, AZ 85712-1256
Phone (520) 838-3540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
83.77
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
240415AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Heart Physicians, PC CurrentSince Jul 1, 2020 Accepting new patients
Pima Heart Physicians, PC CurrentSince Jul 1, 2020 Accepting new patients
Pima Heart Physicians, PC Past Accepting new patients

Locations

4475 S I 19 Frontage Rd
Ste 125
Green Valley, AZ 85614

480 N Morley Ave
Nogales, AZ 85621
Phone (520) 287-2726

15920 S Rancho Sahuarita Blvd
Ste 120
Sahuarita, AZ 85629
Phone (520) 575-1175

942 E Fry Blvd
Sierra Vista, AZ 85635
Phone (520) 224-9100

4729 E Camp Lowell Dr
Tucson, AZ 85712

1238 W Orange Grove Rd
Ste 103
Tucson, AZ 85704

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

Interoperability endpoints

  • Direct secure messaging: sean.chan@ushv.eclinicaldirectplus.com

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.

Hospital & facility affiliations 3

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": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1972123743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE",
            "address_2": "STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-838-3540",
            "fax_number": "520-325-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 W ORANGE GROVE RD STE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857042950",
            "telephone_number": "520-297-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SEAN",
        "name_prefix": "Dr.",
        "credential": "DNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "240415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sean.chan@pimaheartandvascular.com",
            "affiliation": "N",
            "address_1": "1238 W Orange Grove Rd Ste 103",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857042950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.