NPIMap

Individual provider Active NPI

Mindy Rose Magoon

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1023798642
Registry record updated Jul 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07230869 Issued in AZ
Practice address
9815 W Keyser Dr
Peoria, AZ 85383-2914
Phone
(602) 332-1519
NPI assigned
Jul 19, 2023
Last updated
Jul 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07230869 AZ Primary

Addresses

Primary practice location

9815 W Keyser Dr
Peoria, AZ 85383-2914

Mailing address

9815 W Keyser Dr
Peoria, AZ 85383-2914
Phone (602) 332-1519

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105001303 AZ Practitioner - Nurse Practitioner 8527419316 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth Medical Group, LLCGroup PAC ID 1557274057, 338 clinicians

Practice addresses (Care Compare)

16840 W Waddell Rd
Suite 110
Surprise, AZ 85388-9617
Phone (623) 300-9025

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07230869AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Medical Group, LLC Current Accepting new patients
Maricopa County Special Health Care District Current Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 12, 2023 Accepting new patients
District Medical Group, Inc CurrentSince Jan 21, 2024 Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Sep 12, 2025 Accepting new patients
Maricopa County Special Health Care District CurrentSince Dec 12, 2023 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Honorhealth Medical Group, LLC Family Medicine CurrentSince Sep 12, 2025 Accepting new patients
Mindy's Medicine CurrentSince Nov 5, 2023 Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients
Honorhealth Medical Group, LLC Family Medicine Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

6220 W Bell Rd
Ste 130
Glendale, AZ 85308
Phone (602) 547-7348

10230 W Happy Valley Pkwy
Ste 100C
Peoria, AZ 85383
Phone (623) 561-3030

18404 N Tatum Blvd
Ste 101
Phoenix, AZ 85032
Phone (602) 992-1900

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

16100 N 71st St
Ste 100
Scottsdale, AZ 85254
Phone (480) 656-0016

16840 W Waddell Rd
Ste 110
Surprise, AZ 85388
Phone (623) 300-9025

1626 S Priest Dr
Ste 104
Tempe, AZ 85281
Phone (480) 882-7320

1761 E Warner Rd
Ste 2
Tempe, AZ 85284
Phone (480) 882-7390

Interoperability endpoints

  • Direct secure messaging: mmagoon262982@direct.valleywisehealth.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1023798642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9815 W KEYSER DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832914",
            "telephone_number": "602-332-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9815 W KEYSER DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832914",
            "telephone_number": "602-332-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGOON",
        "first_name": "MINDY",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F07230869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.