Individual provider Active NPI

Magali Geoconda Calle

  • Family Nurse Practitioner
  • West Yarmouth, MA
National Provider Identifier
1114738705
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2024088145 Issued in 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
Last updated
Jan 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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 2024088145 MA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250409002418 MA Practitioner - Nurse Practitioner 6608390802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 3072042860, 3 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024088145MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BK Primary Care PLLC CurrentSince Feb 15, 2025 Accepting new patients

Locations

21 Aarons Way
West Yarmouth, MA 02673
Phone (508) 760-2054

21 Aarons Way
Unit 2
West Yarmouth, MA 02673
Phone (508) 760-2054

Interoperability endpoints

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

Organizations & group practices 2

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 1

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": "1736812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1114738705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 AARONS WAY UNIT 2",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026732596",
            "telephone_number": "508-760-2054",
            "fax_number": "508-760-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 AARONS WAY UNIT 2",
            "city": "WEST YARMOUTH",
            "state": "MA",
            "postal_code": "026732596",
            "telephone_number": "508-760-2054",
            "fax_number": "508-760-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLE",
        "first_name": "MAGALI",
        "middle_name": "GEOCONDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2024088145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Yarmouth, MA

Sources for this page

Verify at the official NPI Registry.