Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kacy Newcomb, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1558003830

Kacy Newcomb, FNP-BC is a Nurse Practitioner in Mesa, Arizona. Qualified in 2021, 5 years ago. Practices with East Valley Urology Center PLC, a 9-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

6116 E Arbor Ave Ste 108
Mesa, AZ 85206-6103
Phone: (480) 219-1010
Fax: (480) 219-1771
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11888-33 (WI)

Record details

NPI number1558003830
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedApril 8, 2022
Last updated in NPPESNovember 8, 2024
Certification dateNovember 5, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice East Valley Urology Center Plc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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