Active NPI
Mary Ann McGuire, CFNP
- Family Medicine Physician
- Roswell, NM
National Provider Identifier
1417958711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R38408
- Practice address
- 1627 S Union Ave
Roswell, NM 88203-2656 - Phone
- (575) 208-0106
- Fax
- (575) 208-0700
- NPI assigned
- Aug 9, 2005
- Last updated
- Mar 22, 2018
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R38408 | NM | Primary |
Addresses
Primary practice location
1627 S Union Ave
Roswell, NM 88203-2656
Mailing address
1717 W 2ND St
Ste 101
Roswell, NM 88201-2000
Phone (575) 627-1200
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R6548 | Medicaid | NM | |
| 79619 | Other | NM | PRESBYTERIAN |
| MARYANNMCGUIRE | Other | TRICARE | |
| 110162385 | Other | RR MEDICARE | |
| 87726 | Other | UNITED HEALTH CARE | |
| 841627609 | Other | HEALTHSMART | |
| NM011928 | Other | NM | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R38408 | NM | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roswell Hospital Corporation | Past | Accepting new patients | |
| Roswell Clinic Corp | Family Medicine | Past | Accepting new patients |
| Muglin LLC | Past | Accepting new patients | |
| Roswell Hospital Corporation | Family Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Roswell, NM
- NPI 1730172735
-
- Family Medicine Physician
- Roswell, NM
- NPI 1649267618
-
dba Valley Health Clinic of Eastern New Mexico
- Rural Health Clinic/Center
- Dexter, NM
- NPI 1225161474
-
dba Eastern New Mexico Medical Center
- Family Medicine Physician
- Roswell, NM
- NPI 1427001759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1417958711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 W 2ND ST",
"address_2": "STE 101",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882012000",
"telephone_number": "575-627-1200",
"fax_number": "888-445-1844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1627 S UNION AVE",
"city": "ROSWELL",
"state": "NM",
"postal_code": "882032656",
"telephone_number": "575-208-0106",
"fax_number": "575-208-0700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGUIRE",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "CFNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-09",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "R38408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "R6548",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN",
"identifier": "79619",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "MARYANNMCGUIRE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110162385",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "87726",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSMART",
"identifier": "841627609",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "NM011928",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.