Alice Nduku Mwanza, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

290418 Issued in AZ

Practice address

9200 N Central Ave Ste 3
Phoenix, AZ 85020-2463

Phone

(602) 943-9494

NPI assigned

Apr 12, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Native HealthGroup PAC ID 4385738418, shared by 2 NPIs, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alice.mwanza.1@29324.direct.athenahealth.com

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.

• Alveo LC

  • Pulmonary Disease Physician
  • Phoenix, AZ
  • NPI 1639517436
  Medicare reassignment NPD
• Phoenix Health Practitioners LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1205525839
  Medicare reassignment NPD
• Unomed LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Phoenix, AZ
  • NPI 1972912228
  Medicare reassignment NPD
• Native Health

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1700904075
  NPD (past)
• Native Health

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1740462761
  NPD (past)
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487
  NPD (past)

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1982390167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 N CENTRAL AVE STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 N CENTRAL AVE STE 3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202463",
            "telephone_number": "602-943-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3023 S 90th Dr",
            "address_purpose": "LOCATION",
            "city": "Tolleson",
            "state": "AZ",
            "postal_code": "853535904",
            "country_code": "US",
            "telephone_number": "623-256-0851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MWANZA",
        "first_name": "ALICE",
        "middle_name": "NDUKU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "290418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Christine Muyskens
• Jimmy Muyumbu
• Marium Muzaffar, MD
• MVC Az
• MVMT Sport & Wellness, PLLC
• Mwcgp Outpatient Care, Inc
• Domtila J Mwei, NP
• Stanley Kupata Mwendar, RPH
• Lubunga Mwimbilwa
• Beatrice Mwinuka

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.