DAVID BRYAN TANIS DNP, PMHNP-BC NPI 1598372807

Nurse Practitioner (Psychiatric/Mental Health) in Wickenburg, AZ

NPI 1598372807 Individual Male Nurse Practitioner Psychiatric/Mental Health PECOS Enrolled

About DAVID TANIS

David Tanis is a provider established in Wickenburg, Arizona and his medical specialization is nurse practitioner (psychiatric/mental health) . The NPI number of David Tanis is 1598372807 and was assigned on September 2020. The practitioner's primary taxonomy code is 363LP0808X with license number 254061 (AZ). The provider is registered as an individual and his NPI record was last updated October 2021.

A nurse practitioner (NP) like David Bryan Tanis Dnp, Pmhnp-bc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

David Tanis is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

David Tanis is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1598372807

Provider Name DAVID BRYAN TANIS DNP, PMHNP-BC
Provider Location Address1655 N TEGNER ST WICKENBURG, AZ 85390
Provider Mailing Address6677 W THUNDERBIRD RD STE I164 GLENDALE, AZ 85306
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-30-2020
Last Update Date10-08-2021


Primary Taxonomy

Taxonomy Code363LP0808X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationPsychiatric/Mental Health
License No.254061
License StateAZ

Business Address

DAVID BRYAN TANIS DNP, PMHNP-BC
1655 N TEGNER ST
WICKENBURG, AZ
ZIP 85390
Phone: (928) 684-3926

Get Directions


Mailing Address

DAVID BRYAN TANIS DNP, PMHNP-BC
6677 W THUNDERBIRD RD
STE I164
GLENDALE, AZ
ZIP 85306
Phone: (623) 878-2100



Secondary Locations

4747 N 7th St Ste 450
Phoenix, AZ 85014
(602) 997-2880

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1163W00000XNursing Service ProvidersRegistered NurseRN209918AZNo

Taxonomy Description: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1821299801 STEPHEN SWIFT BROCKWAY M.D.
Individual
Psychiatry & Neurology (Addiction Medicine)1655 N TEGNER ST
WICKENBURG, AZ 85390
(928) 684-3926
1689705154THE MEADOWS OF WICKENBURG, INC.
Organization
Psychiatric Hospital1655 N TEGNER ST
WICKENBURG, AZ 85390
(928) 684-3926
1235708140DR. MELISSA SUSANNE CHRISTMAS DNP, APRN-RNP
Individual
Nurse Practitioner (Psychiatric/Mental Health)1655 N TEGNER ST
WICKENBURG, AZ 85390
(928) 684-3926

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.