Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alexa Kucharo, A-GNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1205440310

Alexa Kucharo, A-GNP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2020, 6 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
6
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone: (623) 256-3660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 241663 (AZ)

Record details

NPI number1205440310
Entity typeIndividual (Type 1)
GenderFemale
Credentials A-GNP-C
Sole proprietorNo
NPI enumeratedSeptember 4, 2020
Last updated in NPPESDecember 6, 2021
Certification dateApril 19, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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