Magali Geoconda Calle
Individual provider Active NPI Family Nurse Practitioner · West Yarmouth, MA
NPI 1114738705 · NPPES record last updated Jan 14, 2025
Key facts
- NPI
- 1114738705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 2024088145 (MA)
- Practice address
- 21 Aarons Way Unit 2
West Yarmouth, MA 02673-2596 - Phone
- (508) 760-2054
- Fax
- (508) 760-1218
- NPI assigned
- Jan 14, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- BK Primary Care PLLC
Physiotherapy Associates Inc
Practice addresses (Care Compare)
21 Aarons Way
West Yarmouth, MA 02673-2596
Phone (508) 760-2054
860 Route 134
Suite 5And6
South Dennis, MA 02660-2577
Phone (508) 385-4212
Hospital & facility affiliations
- Cape Cod Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250409002418 | MA | Practitioner - Nurse Practitioner | 6608390802 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024088145 | MA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BK Primary Care PLLC | Current |
Accepting new patients |
Locations
21 Aarons Way
Unit 2
West Yarmouth, MA 02673
Phone (508) 760-2054
21 Aarons Way
West Yarmouth, MA 02673
Phone (508) 760-2054
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AGDHAA/Endpoint/AGDHAA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2024088145 | MA | Yes |
Addresses
Primary practice location
21 Aarons Way Unit 2
West Yarmouth, MA 02673-2596
Mailing address
21 Aarons Way Unit 2
West Yarmouth, MA 02673-2596
Phone (508) 760-2054
Other providers in West Yarmouth, MA
- Joseph Louis Bonina
- Laurie Catherine Bronski
- Nicole Brow
- Douglas Adams Bryans
- Mary Elizabeth Butler Minor
- Cape Cod Medical Enterprises Inc
- Cape Cod Medical Enterprises Inc
- Cape Cod Medical Enterprises Inc
- Cape Cod Plastic & Hand Surgeons, Inc.
- Steven Caradimos
All providers in West Yarmouth, MA · Family Nurse Practitioner in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.