Individual provider Active NPI

Mark Cagle, PA-C

  • Medical Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1255950127
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8078 Issued in AZ
Practice address
5140 E Thomas Rd
Phoenix, AZ 85018-7915
Phone
(602) 207-8400
Fax
(602) 535-3166
NPI assigned
Apr 10, 2020
Last updated
Jul 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8078 AZ
Medical Physician Assistant 363AM0700X 8078 AZ Primary
Student in an Organized Health Care Education/Training Program 390200000X AZ

Addresses

Primary practice location

5140 E Thomas Rd
Phoenix, AZ 85018-7915

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282

Other practice location 1

7510 W Thomas Rd Ste 104
Phoenix, AZ 85033-5407
Phone (480) 677-8282

Other identifiers 2

IdentifierTypeStateIssuer
094625MedicaidAZ
8078OtherAZPHYSICIAN ASSISTANT BOARD

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
I20201001003384 AZ Practitioner - Physician Assistant 9931528411 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

10240 N 43Rd Ave
Suite 3
Glendale, AZ 85302-2044
Phone (623) 742-2060

13840 W Camelback Rd
Suite 10
Litchfield Park, AZ 85340-3084
Phone (602) 853-4057

14800 W Mountain View Blvd
Suite 190
Surprise, AZ 85374-2700
Phone (623) 385-7299

18589 N 59TH Ave
Suite 101
Glendale, AZ 85308-1258
Phone (602) 547-2600

20950 N Tatum Blvd
Suite 190
Phoenix, AZ 85050-4251
Phone (480) 776-0021

3229 E Greenway Rd
Suite 102
Phoenix, AZ 85032-4508
Phone (602) 788-3285

3850 W Greenway Rd
Suite 150
Phoenix, AZ 85053-3731
Phone (480) 508-5777

600 S Dobson Rd
Suite C26
Chandler, AZ 85224-5690
Phone (480) 814-1560

7650 S 59TH Ave
Suite A105
Laveen, AZ 85339-3071
Phone (602) 476-8888

8101 N 19TH Ave
Suite a
Phoenix, AZ 85021-5161
Phone (602) 845-4505

914 N Scottsdale Rd
Suite 104
Tempe, AZ 85288-2116
Phone (480) 924-8382

9494 W Northern Ave
Suite 101
Glendale, AZ 85305-1119
Phone (623) 872-2226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
8078AZMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Medical Clinic Thomas Rd, LLC Single Specialty CurrentSince Feb 18, 2024 Accepting new patients
Tri-City Express Care, PLLC Single Specialty Past Accepting new patients

Locations

1847 W Heatherbrae Dr
Phoenix, AZ 85015
Phone (602) 249-4508

5140 E Thomas Rd
Phoenix, AZ 85018
Phone (602) 207-8400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIBHAA
  • Direct secure messaging: mark.caglepac.p1@direct.nextcare.nextgenshare.com

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, 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": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1255950127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262617",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187915",
            "telephone_number": "602-207-8400",
            "fax_number": "602-535-3166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7510 W Thomas Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850335407",
            "country_code": "US",
            "telephone_number": "480-677-8282",
            "fax_number": "888-316-1686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAGLE",
        "first_name": "MARK",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8078",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "8078",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094625",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT BOARD",
            "identifier": "8078",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.