Individual provider Active NPI

Mary L Walker, FNP

  • Family Nurse Practitioner
  • Florence, AZ
National Provider Identifier
1174288773
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
266654 Issued in AZ
Practice address
174 W Highway 287
Florence, AZ 85132
Phone
(520) 868-5811
Fax
(520) 868-1223
NPI assigned
Nov 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 209022899 IL
Family Nurse Practitioner 363LF0000X 266654 AZ Primary

Addresses

Primary practice location

174 W Highway 287
Florence, AZ 85132

Mailing address

PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446

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
I20220707000439 AZ Practitioner - Nurse Practitioner 6103206289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Life Family Health Center IncGroup PAC ID 9335032275, 46 clinicians

Practice addresses (Care Compare)

174 W Hwy 287
Florence, AZ 85132-8170
Phone (520) 868-5811

Hospital & facility affiliations

  • Banner Home Care-Arizona Home health agency, Mesa, AZ, CCN 037015

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209022899ILMDFamily Medicine Physician
266654AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Life Family Health Center, Inc. CurrentSince Mar 24, 2022 Accepting new patients
Sun Life Family Health Center, Inc. CurrentSince Mar 24, 2022 Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc. Current Accepting new patients
Sun Life Family Health Center, Inc Past Accepting new patients

Locations

2080 W Southern Ave
Bldg B10
Apache Junction, AZ 85120
Phone (480) 351-2850

1856 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-0380

865 N Arizola Rd
Casa Grande, AZ 85122
Phone (520) 381-0363

655 S Dobson Rd
Ste 201
Chandler, AZ 85224
Phone (480) 307-9471

205 N Stuart Blvd
Eloy, AZ 85131
Phone (520) 466-7883

174 W Highway 287
Florence, AZ 85132
Phone (520) 868-5811

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1636329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1174288773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10097",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851300020",
            "telephone_number": "520-836-3446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 W HIGHWAY 287",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "85132",
            "telephone_number": "520-868-5811",
            "fax_number": "520-868-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-08",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "209022899",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "266654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

Verify at the official NPI Registry.