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

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.

Hospital & facility affiliations 1

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

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 (3 clinicians)
Physiotherapy Associates Inc (1,432 clinicians)

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 Hospital · Hyannis, MA · CCN 220012

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 IDStateProvider typePAC IDDetails
I20250409002418 MA Practitioner - Nurse Practitioner 6608390802 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2024088145MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BK Primary Care PLLC Current
since Feb 15, 2025
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

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGDHAA/Endpoint/AGDHAA

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

All providers in West Yarmouth, MA · Family Nurse Practitioner in Massachusetts

Sources for this page

Verify at the official NPI Registry.