Active NPI
Gloria Jean Acosta, CNP
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN31517
- 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.
-
- Durable Medical Equipment & Medical Supplies
- Oro Valley, AZ
- NPI 1821302910
-
- Emergency Medicine Physician
- Tucson, AZ
- NPI 1477636108
-
- Cardiovascular Disease Physician
- Sierra Vista, AZ
- NPI 1003081803
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN31517 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Allied Physicians, LLC | Current | Accepting new patients | |
| Northwest Allied Physicians LLC | Current | 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN31517 | AZ | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 807315 | Medicaid | AZ |
Electronic endpoints 2
NPPES NPI Registry| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.