Individual provider Active NPI

Garrick Haymore, FNP

  • Family Nurse Practitioner
  • Sierra Vista, AZ
National Provider Identifier
1972978328
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8339 Issued in AZ
Practice address
1800 E Wilcox Dr
Sierra Vista, AZ 85635-2756
Phone
(520) 459-3116
Fax
(520) 459-7397
NPI assigned
Dec 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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 AP8339 AZ Primary

Addresses

Primary practice location

1800 E Wilcox Dr
Sierra Vista, AZ 85635-2756

Mailing address

1800 E Wilcox Dr
Sierra Vista, AZ 85635-2756
Phone (520) 459-3116

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
I20160112001704 AZ Practitioner - Nurse Practitioner 2062714702 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GP Medicine PLLCGroup PAC ID 6800216672, 6 clinicians

Practice addresses (Care Compare)

1800 E Wilcox Dr
Sierra Vista, AZ 85635-2756
Phone (520) 459-3116

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Sierra Vista, AZ, CCN 037416
  • Haven Home Health Care Home health agency, Tucson, AZ, CCN 037494
  • Canyon Vista Medical Center Hospital, Sierra Vista, AZ, CCN 030043
  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006
  • Copper Queen Community Hospital Hospital, Bisbee, AZ, CCN 031312

Merit-based Incentive Payment System (MIPS)

Final score
91.52 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP8339AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GP Medicine, PLLC CurrentSince Dec 1, 2020 Accepting new patients

Locations

1800 E Wilcox Dr
Sierra Vista, AZ 85635
Phone (520) 459-3116

Organizations & group practices 1

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 7

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": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1972978328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352756",
            "telephone_number": "520-459-3116",
            "fax_number": "520-459-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E WILCOX DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352756",
            "telephone_number": "520-459-3116",
            "fax_number": "520-459-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYMORE",
        "first_name": "GARRICK",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.