NPIMap

Organization Active NPI

Genesis OB GYN PLLC

  • Obstetrics & Gynecology Physician
  • Tucson, AZ
National Provider Identifier
1992994214
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
GENESIS OB GYN PLLC
Practice address
655 E River Rd Unit 201
Tucson, AZ 85704-5853
Phone
(520) 258-0585
Fax
(833) 449-2358
NPI assigned
Oct 23, 2007
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Authorized official

Name
Anna Nelson-Moseke, MDNPI 1518196443
Title
Cmo
Phone
(520) 258-0585

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X

Addresses

Primary practice location

655 E River Rd Unit 201
Tucson, AZ 85704-5853

Mailing address

PO Box 81064
Cleveland, OH 44181-0064
Phone (520) 795-8080

Other practice location 1

1313 E Osborn Rd Ste 250
Phoenix, AZ 85014-5699
Phone (602) 265-9161

Other practice location 2

11209 N Tatum Blvd Ste 255
Phoenix, AZ 85028-6061
Phone (602) 494-5050

Other practice location 3

2300 N Rosemont Blvd
Tucson, AZ 85712-2139
Phone (520) 881-1977

Other practice location 4

1760 E Pecos Rd Ste 235
Gilbert, AZ 85295-3207
Phone (480) 813-0944

Other practice location 5

5757 W Thunderbird Rd Ste W202
Glendale, AZ 85306-5612
Phone (602) 678-1111

Other practice location 6

3710 E University Dr Ste 2
Phoenix, AZ 85034-7292
Phone (480) 863-5200

Other practice location 7

1100 N San Francisco St Ste B
Flagstaff, AZ 86001-3260
Phone (928) 779-7851

Other practice location 8

6261 N La Cholla Blvd Ste 2
Tucson, AZ 85741-3565
Phone (520) 392-7500

Other practice location 9

174 S Coronado Dr Ste A
Sierra Vista, AZ 85635-6356
Phone (520) 545-0676

Other practice location 10

4530 N 32nd St Ste 100
Phoenix, AZ 85018-3357
Phone (602) 468-3912

Other practice location 11

6367 E Tanque Verde Rd Ste 200
Tucson, AZ 85715-3832
Phone (520) 392-7500

Other practice location 12

1521 E Tangerine Rd Ste 209
Oro Valley, AZ 85755-6218
Phone (520) 545-0573

Other practice location 13

120 W Calle De Las Tiendas
Green Valley, AZ 85614-4326
Phone (520) 545-0573

Other practice location 14

6452 E Carondelet Dr Ste 100
Tucson, AZ 85710-2262
Phone (520) 323-0333

Other practice location 15

7787 W Deer Valley Rd Ste 296
Peoria, AZ 85382-2119
Phone (602) 978-1500

Other practice location 16

5533 E Bell Rd Ste 103
Scottsdale, AZ 85254-1256
Phone (602) 466-1111

Other practice location 17

4600 S Park Ave Ste 6B
Tucson, AZ 85714-1697
Phone (520) 624-6260

Other practice location 18

6261 N La Cholla Blvd Ste 3
Tucson, AZ 85741-3565
Phone (520) 392-7500

Other practice location 19

1005 Division St
Prescott, AZ 86301-1601
Phone (928) 776-8428

Other practice location 20

3262 N Windsong Dr Ste B
Prescott Valley, AZ 86314-2255
Phone (928) 776-8428

Other practice location 21

6678 W Thunderbird Rd
Glendale, AZ 85306-3721
Phone (602) 978-1500

Other practice location 22

33423 N 32nd Ave Ste 3200
Phoenix, AZ 85085-8874
Phone (602) 978-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071213000739 AZ Part B Supplier - Clinic/Group Practice 4284724279 Receives reassigned benefits from 157 practitioners
Practice locations: Tucson, AZ; Sierra Vista, AZ; Scottsdale, AZ; Sahuarita, AZ; Prescott Valley, AZ; Prescott, AZ; Phoenix, AZ; Flagstaff, AZ…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0961351Genesis OB/GYN Northwest6261 N la Cholla Blvd Ste 003, Tucson, AZ 85741Provider-performed microscopyJun 2, 2027
03D1080150Genesis OB/GYN South Tucson4600 S Park Ave Ste 6B, Tucson, AZ 85714Provider-performed microscopyFeb 13, 2028
03D1090620Genesis OB/GYN Northwest1521 E Tangerine Ste 209, Oro Valley, AZ 85755Provider-performed microscopyMay 12, 2027
03D2143553Genesis OB/GYN Sierra Vista174 S Coronado Dr, Ste a, Sierra Vista, AZ 85635Provider-performed microscopyAug 1, 2026
03D2176782Genesis OB/GYN Sahuarita120 W Calle de Las Tienda, Green Valley, AZ 85614Certificate of waiverDec 22, 2027
03D2308857Genesis OB/GYN, PLLC3710 E University Dr Ste 2, Phoenix, AZ 85034AccreditationJun 3, 2027

National Provider Directory

National Provider Directory

Locations (25 of 30)

1100 N San Francisco St
Ste 260
Flagstaff, AZ 86001

1760 E Pecos Rd
Ste 325
Gilbert, AZ 85295
Phone (480) 813-0944

5757 W Thunderbird Rd
Ste W202
Glendale, AZ 85306
Phone (602) 298-1932

5860 S Hospital Dr
Ste 102
Globe, AZ 85501
Phone (928) 402-0491

7787 W Deer Valley Rd
Peoria, AZ 85382

11209 N Tatum Blvd
Ste 225
Phoenix, AZ 85028

1313 E Osborn Rd
Phoenix, AZ 85014

1313 E Osborn Rd
Ste 250
Phoenix, AZ 85014
Phone (602) 265-9161

3710 E University Dr
Ste 2
Phoenix, AZ 85034
Phone (480) 863-5200

9305 W Thomas Rd
Ste 550
Phoenix, AZ 85037
Phone (602) 978-1500

3262 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 759-5800

1615 S 1st Ave
Safford, AZ 85546
Phone (928) 348-1701

18861 S La Canada Dr
Sahuarita, AZ 85629
Phone (520) 407-5400

1400 W Valencia Rd
Ste 130
Tucson, AZ 85746
Phone (520) 573-1105

1871 W Orange Grove Rd
Ste 101
Tucson, AZ 85704
Phone (520) 219-8342

2290 E Speedway Blvd
Tucson, AZ 85719

2325 N Wyatt Dr
Ste 105
Tucson, AZ 85712
Phone (520) 324-2297

2424 N Wyatt Dr
Fl 2
Tucson, AZ 85712
Phone (520) 545-0930

3000 W Valencia Rd
Ste 222
Tucson, AZ 85746

333 W Fort Lowell Rd
Ste 120
Tucson, AZ 85705
Phone (520) 622-6200

344 W Ajo Way
Ste 222
Tucson, AZ 85713

4600 S Park Ave
Ste 6B
Tucson, AZ 85714
Phone (520) 323-5577

5225 E Knight Dr
Ste 101
Tucson, AZ 85712
Phone (520) 319-0313

5515 E 5th St
Ste 101
Tucson, AZ 85711

6261 N La Cholla Blvd
Ste 2
Tucson, AZ 85741

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19050/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 185

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 185

NPI Registry JSON

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

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1992994214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81064",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441810064",
            "telephone_number": "520-795-8080",
            "fax_number": "520-323-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 E RIVER RD UNIT 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045853",
            "telephone_number": "520-258-0585",
            "fax_number": "833-449-2358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1313 E Osborn Rd Ste 250",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850145699",
            "country_code": "US",
            "telephone_number": "602-265-9161",
            "fax_number": "602-265-1823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11209 N Tatum Blvd Ste 255",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850286061",
            "country_code": "US",
            "telephone_number": "602-494-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 N Rosemont Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122139",
            "country_code": "US",
            "telephone_number": "520-881-1977",
            "fax_number": "520-881-1979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 E Pecos Rd Ste 235",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852953207",
            "country_code": "US",
            "telephone_number": "480-813-0944",
            "fax_number": "480-813-0038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5757 W Thunderbird Rd Ste W202",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853065612",
            "country_code": "US",
            "telephone_number": "602-678-1111",
            "fax_number": "602-678-7090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3710 E University Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850347292",
            "country_code": "US",
            "telephone_number": "480-863-5200",
            "fax_number": "480-863-5255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 N San Francisco St Ste B",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "860013260",
            "country_code": "US",
            "telephone_number": "928-779-7851",
            "fax_number": "928-213-9990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6261 N La Cholla Blvd Ste 2",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413565",
            "country_code": "US",
            "telephone_number": "520-392-7500",
            "fax_number": "520-323-4350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "174 S Coronado Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Sierra Vista",
            "state": "AZ",
            "postal_code": "856356356",
            "country_code": "US",
            "telephone_number": "520-545-0676",
            "fax_number": "520-547-2993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4530 N 32nd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850183357",
            "country_code": "US",
            "telephone_number": "602-468-3912",
            "fax_number": "866-777-2248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6367 E Tanque Verde Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857153832",
            "country_code": "US",
            "telephone_number": "520-392-7500",
            "fax_number": "520-323-4350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1521 E Tangerine Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857556218",
            "country_code": "US",
            "telephone_number": "520-545-0573",
            "fax_number": "520-297-5597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W Calle De Las Tiendas",
            "address_purpose": "LOCATION",
            "city": "Green Valley",
            "state": "AZ",
            "postal_code": "856144326",
            "country_code": "US",
            "telephone_number": "520-545-0573",
            "fax_number": "520-297-5597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6452 E Carondelet Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857102262",
            "country_code": "US",
            "telephone_number": "520-323-0333",
            "fax_number": "520-323-5036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7787 W Deer Valley Rd Ste 296",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853822119",
            "country_code": "US",
            "telephone_number": "602-978-1500",
            "fax_number": "602-978-0409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5533 E Bell Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852541256",
            "country_code": "US",
            "telephone_number": "602-466-1111",
            "fax_number": "602-795-4706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 S Park Ave Ste 6B",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857141697",
            "country_code": "US",
            "telephone_number": "520-624-6260",
            "fax_number": "833-449-2358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6261 N La Cholla Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857413565",
            "country_code": "US",
            "telephone_number": "520-392-7500",
            "fax_number": "520-323-4350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Division St",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011601",
            "country_code": "US",
            "telephone_number": "928-776-8428",
            "fax_number": "928-776-8057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3262 N Windsong Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863142255",
            "country_code": "US",
            "telephone_number": "928-776-8428",
            "fax_number": "928-776-8057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6678 W Thunderbird Rd",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853063721",
            "country_code": "US",
            "telephone_number": "602-978-1500",
            "fax_number": "602-978-0409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33423 N 32nd Ave Ste 3200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850858874",
            "country_code": "US",
            "telephone_number": "602-978-1500",
            "fax_number": "602-978-0409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENESIS OB GYN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "NELSON-MOSEKE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "520-258-0585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.