GARY MICHAEL RAYBURN NP-C
NPI 1043965502
Nurse Practitioner - Family in Florence, AZ

Active since February 14, 2022
100/100
CMS Quality Rating
4374 E BUTTE AVE, FLORENCE, AZ 85132(520) 868-0201 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 4, 2023, Jun 10, 2022, Feb 14, 2022 (3 updates tracked since 2022).

About Gary Michael Rayburn Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GARY MICHAEL RAYBURN NP-C (NPI 1043965502) is an individual family provider in Florence, Arizona, licensed in Arizona (270751) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1043965502
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameGARY MICHAEL RAYBURNCredential: NP-C
Location Address4374 E BUTTE AVEFlorence, AZ 85132
Mailing Address1727 W Emelita Ave Apt 2104Mesa, AZ 85202-3168
Sole ProprietorYes
Enumeration DateFebruary 14, 2022
Last NPPES UpdateMay 23, 20243 updates tracked since enumeration
NPPES CertifiedMay 18, 2024
NPI 1043965502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · 270751
4374 E BUTTE AVE, Florence, AZ 85132

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
4374 E BUTTE AVE
FLORENCE, AZ 85132
Dentist
4374 E BUTTE AVE
FLORENCE, AZ 85132

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043965502, enumerated as an "individual" on February 14, 2022.

The provider is located at 4374 E BUTTE AVE FLORENCE, AZ 85132 and the phone number is (520) 868-0201.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.