Individual provider Active NPI

Laura Mae Magoffie, RN, FNP

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1376880997
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP4802 Issued in AZ
Practice address
2525 W Carefree Hwy Ste 124
Phoenix, AZ 85085-6095
Phone
(623) 748-9106
Fax
(602) 429-8579
NPI assigned
Jan 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 AP4802 AZ Primary

Addresses

Primary practice location

2525 W Carefree Hwy Ste 124
Phoenix, AZ 85085-6095

Mailing address

39506 N Daisy Mountain Dr Ste 122169
Anthem, AZ 85086-6068
Phone (623) 748-9106

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
I20130301000217 AZ Practitioner - Nurse Practitioner 1254364409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 W Carefree Hwy
Suite 124
Phoenix, AZ 85085-6095
Phone (623) 748-9106

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Promedisch, LLC CurrentSince Mar 22, 2017 Accepting new patients
Your Health District, LLC CurrentSince Jun 9, 2024 Accepting new patients

Locations

2525 W Carefree Hwy
Ste 118
Phoenix, AZ 85085
Phone (623) 748-9106

2525 W Carefree Hwy
Ste 124
Phoenix, AZ 85085
Phone (623) 223-1350

39506 N Daisy Mountain Dr
Ste 122169
Phoenix, AZ 85086

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": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1376880997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39506 N DAISY MOUNTAIN DR STE 122169",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850866068",
            "telephone_number": "623-748-9106",
            "fax_number": "602-429-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 W CAREFREE HWY STE 124",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850856095",
            "telephone_number": "623-748-9106",
            "fax_number": "602-429-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGOFFIE",
        "first_name": "LAURA",
        "middle_name": "MAE",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP4802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.