Individual provider Active NPI

Maria A Mederos, ARNP

  • Gerontology Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1316151780
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
305475 Issued in AZ
Practice address
5110 W McDowell Rd
Phoenix, AZ 85035-3862
Phone
(602) 671-7068
Fax
(602) 671-6946
NPI assigned
May 9, 2007
Last updated
Jun 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP 2802932 FL
Gerontology Nurse Practitioner 363LG0600X 305475 AZ Primary

Addresses

Primary practice location

5110 W McDowell Rd
Phoenix, AZ 85035-3862

Mailing address

PO Box 746093
Atlanta, GA 30374-6093
Phone (602) 671-7068

Other practice location 1

2097 W 76th St
Hialeah, FL 33016-1834
Phone (786) 504-5969

Other practice location 2

6911 Main St Apt 217
Miami Lakes, FL 33014-7005
Phone (305) 333-2975

Other identifiers 1

IdentifierTypeStateIssuer
ARNP 2802932OtherFLMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070823000767 FL Practitioner - Nurse Practitioner 4183716913 Reassigns benefits to 1 organization
I20250617002634 PA Practitioner - Nurse Practitioner 4183716913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

951 N 6TH St
Suite 221
Reading, PA 19601-1836
Phone (484) 207-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP 2802932FLMDNurse Practitioner
305475AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors House Calls of Florida, LLC CurrentSince Oct 6, 2021 Accepting new patients
Osh - PA Physicians Group, PC Nurse Practitioner CurrentSince Apr 28, 2025 Accepting new patients
Oak Street Health Physicians Group of Arizona PLLC Nurse Practitioner PastSince Jul 17, 2021 Accepting new patients
Bond Urgent Care LLC Past Accepting new patients

Locations

1239 SE Indian St
Ste 102
Stuart, FL 34997
Phone (561) 900-2497

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24095/brand/1/csg/1/fhir/r4
  • Direct secure messaging: maria.mederos.p1@direct.bondclinicpa.nextgenshare.com

Organizations & group practices 4

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 6

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1316151780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093",
            "telephone_number": "602-671-7068",
            "fax_number": "602-671-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 W MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850353862",
            "telephone_number": "602-671-7068",
            "fax_number": "602-671-6946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2097 W 76th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161834",
            "country_code": "US",
            "telephone_number": "786-504-5969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6911 Main St Apt 217",
            "address_purpose": "LOCATION",
            "city": "Miami Lakes",
            "state": "FL",
            "postal_code": "330147005",
            "country_code": "US",
            "telephone_number": "305-333-2975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDEROS",
        "first_name": "MARIA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP 2802932",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "305475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ARNP 2802932",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.