Individual provider Active NPI

Gloria Jean Acosta, CNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1992848741
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN31517 Issued in AZ
Practice address
6320 N la Cholla Blvd Ste 300
Tucson, AZ 85741-3552
Phone
(520) 545-0953
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 4

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.

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
I20051101000456 AZ Practitioner - Nurse Practitioner 6608893342 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN31517AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians, LLC CurrentSince Sep 30, 2019 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Sep 30, 2019 Accepting new patients
Northwest Hospital LLC Past Accepting new patients
Pima Heart Physicians, PC Past Accepting new patients

Locations

6320 N La Cholla Blvd
Ste 300
Tucson, AZ 85741
Phone (520) 545-0953

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

8333 N Silverbell Rd
Tucson, AZ 85743
Phone (520) 202-7700

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN31517 AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

6320 N la Cholla Blvd Ste 300
Tucson, AZ 85741-3552

Mailing address

2360 N Via de Suenos
Tucson, AZ 85745-9029
Phone (520) 743-8831

Other practice location 1

6200 N La Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 469-8506

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
807315MedicaidAZ

Electronic endpoints 2

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address gloria.acosta@nwhc.cernerdirect.com
Direct Messaging Address gloria.acosta.1@1576.direct.athenahealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 12, 2021.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1992848741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 N VIA DE SUENOS",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857459029",
            "telephone_number": "520-743-8831",
            "fax_number": "520-743-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N LA CHOLLA BLVD STE 300",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413552",
            "telephone_number": "520-545-0953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 N La Cholla Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413529",
            "country_code": "US",
            "telephone_number": "520-469-8506",
            "fax_number": "520-469-8979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "GLORIA",
        "middle_name": "JEAN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN31517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807315",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gloria.acosta@nwhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "6200 N La Cholla Blvd",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gloria.acosta.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "6320 N La Cholla Blvd Ste 300",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857413552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.