Individual provider Active NPI

Wilfredo Alberto Concio, FNP-C

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1972226587
Registry record updated Oct 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
281115 Issued in AZ
Practice address
1845 E Broadway Rd Ste 116
Tempe, AZ 85282-1685
Phone
(480) 499-0102
Fax
(480) 499-0295
NPI assigned
Sep 20, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 20, 2023

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 281115 AZ Primary

Addresses

Primary practice location

1845 E Broadway Rd Ste 116
Tempe, AZ 85282-1685

Mailing address

1845 E Broadway Rd Ste 116
Tempe, AZ 85282-1685
Phone (480) 499-0102

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
I20230119001599 AZ Practitioner - Nurse Practitioner 2567833023 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Care Clinic PLLCGroup PAC ID 5698127868, 2 clinicians

Practice addresses (Care Compare)

1845 E Broadway Rd
Suite 116
Tempe, AZ 85282-1685
Phone (480) 499-0102

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
281115AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Little Clinic of Arizona LLC Family CurrentSince Jan 25, 2023 Accepting new patients
Valley Care Clinic PLLC CurrentSince Nov 11, 2023 Accepting new patients

Locations

6470 S Higley Rd
Gilbert, AZ 85298
Phone (480) 809-2409

2727 W Bell Rd
Phoenix, AZ 85053
Phone (602) 680-2386

1845 E Broadway Rd
Ste 116
Tempe, AZ 85282
Phone (480) 499-0102

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1972226587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 E BROADWAY RD STE 116",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821685",
            "telephone_number": "480-499-0102",
            "fax_number": "480-499-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 E BROADWAY RD STE 116",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821685",
            "telephone_number": "480-499-0102",
            "fax_number": "480-499-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCIO",
        "first_name": "WILFREDO",
        "middle_name": "ALBERTO",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-20",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "281115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.