Individual provider Active NPI

Meagan Maureen Gruwell, APRN

  • Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1386429934
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
296361 Issued in AZ
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

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
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 4 clinicians

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

LicenseStateTypeSpecialty
296361AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edlc, LLC CurrentSince Oct 10, 2023 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

Verify at the official NPI Registry.