Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nancy Rubalcaba

Individual provider Physician Assistant · NPI 1336871961

Nancy Rubalcaba is a Physician Assistant in Flagstaff, Arizona. Qualified in 2023, 3 years ago. Practices with Northern Arizona Healthcare Corporation, a 395-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
3
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

1895 N Jasper Dr Ste 3
Flagstaff, AZ 86001-1632
Phone: (928) 226-6430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 414 Shoup Ave W # B, Twin Falls, ID 83301-5027 — (208) 814-9100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11212 (AZ)

Record details

NPI number1336871961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 30, 2022
Last updated in NPPESAugust 6, 2025
Certification dateAugust 6, 2025
Mailing address1200 N Beaver St, Attn: Payer Credentialing, Flagstaff, AZ 86001-3118

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northern Arizona Healthcare Corporation — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Flagstaff