Individual provider Active NPI

Ramses Vargas, DNP, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1982332912
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
278630 Issued in AZ
Practice address
1255 W Baseline Rd
Mesa, AZ 85202-5820
Phone
(480) 820-5422
NPI assigned
Aug 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 278630 AZ Primary

Addresses

Primary practice location

1255 W Baseline Rd
Mesa, AZ 85202-5820

Mailing address

9236 W Chalco Mountain CT
Casa Grande, AZ 85194-7567
Phone (520) 840-1121

Other identifiers 1

IdentifierTypeStateIssuer
D09301055MedicaidAZ

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
I20240506004305 AZ Practitioner - Nurse Practitioner 3870933914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Southwest Behavioral Health Services IncGroup PAC ID 9739075854, 49 clinicians

Practice addresses (Care Compare)

1255 W Baseline Rd
Mesa, AZ 85202-5820
Phone (420) 820-5422

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Behavioral Health Services Inc Current Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Mental Health Now PLLC Psychiatric/Mental Health Current Accepting new patients
Southwest Behavioral Health Services, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Southwest Behavioral Health Services, Inc. Past Accepting new patients
Southwest Behavioral Health Past Accepting new patients

Locations

251 E Cottonwood Ln
Ste 251A
Casa Grande, AZ 85122
Phone (520) 660-0680

1255 W Baseline Rd
Mesa, AZ 85202
Phone (480) 820-5422

1255 W Baseline Rd
Ste 138A
Mesa, AZ 85202
Phone (623) 776-3006

1255 W Baseline Rd
Ste 138AAND138B
Mesa, AZ 85202

404 W Aero Dr
Payson, AZ 85541
Phone (928) 238-3024

2042 N 35th Ave
Phoenix, AZ 85009
Phone (602) 233-0115

3450 N 3rd St
Phoenix, AZ 85012
Phone (602) 257-9339

7600 E Florentine Rd
Ste 201
Prescott Valley, AZ 86314
Phone (928) 775-7088

7600 E Florentine Rd
Ste 101
Prescott Valley, AZ 86314
Phone (928) 775-7088

Organizations & group practices 6

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": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1982332912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9236 W CHALCO MOUNTAIN CT",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851947567",
            "telephone_number": "520-840-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025820",
            "telephone_number": "480-820-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "RAMSES",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-09",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "278630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D09301055",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.