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

Tatiana Rupp, APN

Individual provider Family Nurse Practitioner · NPI 1205209319

Tatiana Rupp, APN is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2015, 11 years ago. Practices with Banner Health Physicians West LLC, a 99-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
11
Licensed in
AZ
In the registry since
2015
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.

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Practice location Address checks out

4204 W Cactus Rd
Phoenix, AZ 85029-2924
Phone: (602) 547-5919
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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 TRN195621 (AZ)

Record details

NPI number1205209319
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN
Sole proprietorNo
NPI enumeratedNovember 11, 2015
Last updated in NPPESNovember 11, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Banner Health Physicians West Llc — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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