MR. ANTO N VUKANCIC (FNP) – Nurse Practitioner, NPI 1093058950
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. ANTO N VUKANCIC (FNP)
1090 COMMERCE DR
PRESCOTT, AZ 863053700
Phone: (928) 583-1000
Type: Mailing
3212 N WINDSONG DR
SUITE 200
PRESCOTT VALLEY, AZ 863142255
Phone: (928) 583-1000
Fax: (866) 751-4157
Type: Location
5891 W Eugie Ave
Glendale, AZ 853041252
Phone: (800) 233-3264
Fax: (602) 588-6636
Type: Location
25500 N NORTERRA DR
PHOENIX, AZ 850858200
Phone: (623) 277-1130
Fax: (866) 837-6575
Type: Mailing
2302 N 75TH AVE
PHOENIX, AZ 850351216
Phone: (800) 233-3264
Fax: (623) 849-7785
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $47.
Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.
Last reported payment date: 2023-07-25 • Largest payer in this snapshot: Abbott Laboratories ($47).
Total Amount
$47
General + Research + Ownership
Payments
2
Total payment records
General Amount
$47
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $47 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-06-03
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130603000428 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 86305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| - | AZ | |
| - | AZ | |
| - | AZ | |
| - | AZ | |
| - | NC | |
| Nurse Practitioner | AZ | |
| - | AZ | |
| - | AZ | |
| - | NY |
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