Individual provider Active NPI

Meggan Anne Medley, D.C., PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1174690135
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
289210 Issued in AZ
Practice address
15615 N Oracle Rd Ste 135
Tucson, AZ 85739-9121
Phone
(520) 818-3774
Fax
(520) 818-3775
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7239 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 289210 AZ Primary

Addresses

Primary practice location

15615 N Oracle Rd Ste 135
Tucson, AZ 85739-9121

Mailing address

1225 W Calzada CT
Tucson, AZ 85704-4501
Phone (520) 975-1359

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
I20250624002219 AZ Practitioner - Nurse Practitioner 1557352077 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
Peace of Mind Consultants PLLCGroup PAC ID 6800199845, 8 clinicians

Practice addresses (Care Compare)

4435 E Chandler Blvd
Suite 200
Phoenix, AZ 85048-7651
Phone (602) 710-8029

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7239AZMDGeneral Practice Dentistry
289210AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Consultants PLLC CurrentSince Apr 12, 2025 Accepting new patients
Catalina Medical Group, LLC Chiropractor PastSince Apr 7, 2017 Accepting new patients

Locations

4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1174690135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W CALZADA CT",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044501",
            "telephone_number": "520-975-1359",
            "fax_number": "520-818-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15615 N ORACLE RD STE 135",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857399121",
            "telephone_number": "520-818-3774",
            "fax_number": "520-818-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDLEY",
        "first_name": "MEGGAN",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "D.C., PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7239",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "289210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.