Active NPI
Meagan Maureen Gruwell, APRN
- Nurse Practitioner
- Scottsdale, AZ
National Provider Identifier
1386429934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 296361
- Practice address
- 7344 E Deer Valley Rd Ste 100
Scottsdale, AZ 85255-7456 - Phone
- (480) 513-1042
- NPI assigned
- Aug 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 296361 | AZ | Primary |
Addresses
Primary practice location
7344 E Deer Valley Rd Ste 100
Scottsdale, AZ 85255-7456
Mailing address
7344 E Deer Valley Rd Ste 100
Scottsdale, AZ 85255-7456
Phone (480) 513-1042
Other names 1
- Meagan Maureen Cotter
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231121003357 | AZ | Practitioner - Nurse Practitioner | 4385092865 | 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
- Telehealth
- Offers telehealth services
- Group practices
- Edlc, LLC
Practice addresses (Care Compare)
7344 E Deer Valley Rd
Suite 100
Scottsdale, AZ 85255-7456
Phone 4805131042150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296361 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edlc, LLC | Current | Accepting new patients |
Locations
7344 E Deer Valley Rd
Ste 100
Scottsdale, AZ 85255
Phone (480) 513-1042
Organizations & group practices 1
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": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1386429934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7344 E DEER VALLEY RD STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852557456",
"telephone_number": "480-513-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7344 E DEER VALLEY RD STE 100",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852557456",
"telephone_number": "480-513-1042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUWELL",
"first_name": "MEAGAN",
"middle_name": "MAUREEN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "296361",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEAGAN",
"last_name": "COTTER",
"middle_name": "MAUREEN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.