Individual provider Active NPI

Marvin Nogoy, APRN

  • Family Nurse Practitioner
  • Tamuning, GU
National Provider Identifier
1144929480
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209025976 Issued in IL
Practice address
633 Gov Carlos G Camacho Rd Ste 210
Tamuning, GU 96913-3195
Phone
(671) 649-1001
Fax
(671) 649-1002
NPI assigned
Feb 27, 2023
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 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 209025976 IL Primary

Addresses

Primary practice location

633 Gov Carlos G Camacho Rd Ste 210
Tamuning, GU 96913-3195

Mailing address

PO Box 5013
Hagatna, GU 96932-8657
Phone (671) 482-4410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU
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
I20230407000562 GU Practitioner - Nurse Practitioner 0345615282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Cardiology Consultants LLCGroup PAC ID 0547417131, 6 clinicians

Practice addresses (Care Compare)

633 Gov Carlos G Camacho Rd
Suite 202
Tamuning, GU 96913-3195
Phone (671) 649-1001

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
58.33
Improvement activities
40
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209025976ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Cardiology Consultants LLC CurrentSince Feb 24, 2023 Accepting new patients

Locations

633 Gov Carlos G Camacho Rd
Ste 202
Tamuning, GU 96913
Phone (671) 646-0443

633 Gov Carlos G Camacho Rd
Ste 210
Tamuning, GU 96913
Phone (671) 649-1001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1144929480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5013",
            "city": "HAGATNA",
            "state": "GU",
            "postal_code": "969328657",
            "telephone_number": "671-482-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 GOV CARLOS G CAMACHO RD STE 210",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969133195",
            "telephone_number": "671-649-1001",
            "fax_number": "671-649-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGOY",
        "first_name": "MARVIN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209025976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamuning, GU

Sources for this page

Verify at the official NPI Registry.