Individual provider Active NPI

Mariangela Ernestina Reynoso, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1992599401
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225031 Issued in AZ
Practice address
5902 E Pima St
Tucson, AZ 85712-4322
Phone
(520) 886-5315
Fax
(877) 209-7377
NPI assigned
Apr 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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 225031 AZ Primary

Addresses

Primary practice location

5902 E Pima St
Tucson, AZ 85712-4322

Mailing address

5902 E Pima St
Tucson, AZ 85712-4322
Phone (520) 886-5315

Other practice location 1

2171 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 297-3907

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
I20250611002975 AZ Practitioner - Nurse Practitioner 6709396336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians
LHCG Ccii LLCGroup PAC ID 3870994437, 5 clinicians

Practice addresses (Care Compare)

5902 E Pima St
Tucson, AZ 85712-4322
Phone (520) 886-5315

7740 N Oracle Rd
Tucson, AZ 85704-6313
Phone (520) 537-2245

Hospital & facility affiliations

  • Tucson Medical Center Hospital, Tucson, AZ, CCN 030006

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC Family Medicine CurrentSince May 19, 2025 Accepting new patients
Sundance Medical Associates PLLC Family Medicine Past Accepting new patients

Locations

8914 N 91st Ave
Ste 100
Peoria, AZ 85345
Phone (623) 877-0100

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

2171 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 201-4980

5902 E Pima St
Tucson, AZ 85712
Phone (520) 886-5315

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 1

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": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1992599401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5902 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124322",
            "telephone_number": "520-886-5315",
            "fax_number": "877-209-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5902 E PIMA ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124322",
            "telephone_number": "520-886-5315",
            "fax_number": "877-209-7377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2171 W Orange Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413118",
            "country_code": "US",
            "telephone_number": "520-297-3907",
            "fax_number": "520-989-3586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOSO",
        "first_name": "MARIANGELA",
        "middle_name": "ERNESTINA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "225031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.