Individual provider Active NPI

Mary P Kaplan, ANP

  • Acute Care Nurse Practitioner
  • Glendale, AZ
National Provider Identifier
1083682942
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP1392 Issued in AZ
Practice address
5859 W Talavi Blvd Ste 100
Glendale, AZ 85306-1870
Phone
(602) 298-7777
Fax
(623) 930-6060
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP1392 AZ Primary

Addresses

Primary practice location

5859 W Talavi Blvd Ste 100
Glendale, AZ 85306-1870

Mailing address

6116 E Arbor Ave
112
Mesa, AZ 85206-6107
Phone (480) 641-5400

Other names 1

  • Mary Perl Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061110000362 AZ Practitioner - Nurse Practitioner 3072511849 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1392AZMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phoenix Heart, PLLC CurrentSince Apr 25, 2024 Accepting new patients
Phoenix Heart, PLLC CurrentSince Apr 25, 2024 Accepting new patients
Tri-City Cardiology Consultants, PC Past Accepting new patients
Tri-City Cardiology Consultants, PC Past Accepting new patients

Locations

13028 W Rancho Santa Fe Blvd
#A
Avondale, AZ 85392

5859 W Talavi Blvd
Ste 100
Glendale, AZ 85306
Phone (602) 298-7777

140 N Litchfield Rd
Ste 104
Goodyear, AZ 85338
Phone (480) 478-0444

41818 N Venture Dr
Ste 110
Phoenix, AZ 85086
Phone (602) 298-7777

10293 N 92nd St
Ste 100
Scottsdale, AZ 85258
Phone (480) 747-6535

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/24502/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mary.kaplan.1@24502.direct.athenahealth.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1083682942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE",
            "address_2": "112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066107",
            "telephone_number": "480-641-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5859 W TALAVI BLVD STE 100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853061870",
            "telephone_number": "602-298-7777",
            "fax_number": "623-930-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPLAN",
        "first_name": "MARY",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "AP1392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "PERL",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.