ANDREW PECKHAM NP
NPI 1851637128
Nurse Practitioner - Acute Care in Tucson, AZ

Active since December 14, 2012PECOS EnrolledAccepts Medicare Assignment
2424 N WYATT DR STE 100, TUCSON, AZ 85712(520) 324-8621(520) 324-3935 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrew Peckham Np NPPES

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

ANDREW PECKHAM NP (NPI 1851637128) is an individual acute care provider in Tucson, Arizona, licensed in Arizona (234410) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851637128
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameANDREW PECKHAMCredential: NP
Location Address2424 N WYATT DR STE 100Tucson, AZ 85712-6119
Mailing AddressPo Box 31235Tucson, AZ 85751-1235 · (520) 324-2308
Fax(520) 324-3935
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 14, 2012
Last NPPES UpdateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
NPI 1851637128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AZ · 234410
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License RN148598 (AZ)
2424 N WYATT DR STE 100, Tucson, AZ 85712

Secondary Practice Locations 2

Location 15301 E Grant Rd Ste 100Tucson, AZ 85712-2805 · Phone (520) 324-8621 · Fax (520) 324-3935
Location 25433 E 8th StTucson, AZ 85711-3108 · Phone (520) 940-4483

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Andrew Peckham Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032545009
PECOS Enrollment IDI20200211001297
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

Surgery
2424 N WYATT DR STE 100
TUCSON, AZ 85712
Family Medicine
2424 N WYATT DR STE 100
TUCSON, AZ 85712
Nurse Practitioner (Family)
2424 N WYATT DR STE 100
TUCSON, AZ 85712
Surgery
2424 N WYATT DR STE 100
TUCSON, AZ 85712
Nurse Practitioner (Primary Care)
2424 N WYATT DR STE 100
TUCSON, AZ 85712
Nurse Practitioner (Acute Care)
2424 N WYATT DR STE 100
TUCSON, AZ 85712
Nurse Practitioner (Family)
2424 N WYATT DR STE 100
TUCSON, AZ 85712
Family Medicine
2424 N WYATT DR STE 100
TUCSON, AZ 85712

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Peckham's NPI number?

The NPI number for Andrew Peckham is 1851637128. It was assigned to this individual provider in the NPPES registry on December 14, 2012.

Where is Andrew Peckham located?

Andrew Peckham practices at 2424 N Wyatt Dr Ste 100, Tucson, AZ 85712. The listed phone number is (520) 324-8621.

What is Andrew Peckham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Andrew Peckham enrolled in Medicare?

Yes. Andrew Peckham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Andrew Peckham accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc. and Blue Cross Blue Shield of Arizona list Andrew Peckham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Peckham was last updated on January 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.