Individual provider Active NPI

Dawn Michelle Maxwell, FNP-C

  • Primary Care Nurse Practitioner
  • Buckeye, AZ
National Provider Identifier
1487163218
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP10581 Issued in AZ
Practice address
525 S Watson Rd
Buckeye, AZ 85326-3449
Phone
(602) 726-8750
Fax
(623) 925-0745
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP10581 AZ Primary

Addresses

Primary practice location

525 S Watson Rd
Buckeye, AZ 85326-3449

Mailing address

261 N Roosevelt Ave
Chandler, AZ 85226-2616
Phone (480) 305-2888

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
I20171023002529 AZ Practitioner - Nurse Practitioner 0143114462 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

525 S Watson Rd
Suite 200
Buckeye, AZ 85326-3451
Phone (602) 726-8750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Apr 2, 2018 Accepting new patients
Good Health Medical, PLLC CurrentSince Oct 2, 2017 Accepting new patients
VHS Outpatient Clinics, Inc. CurrentSince Apr 2, 2018 Accepting new patients
Good Health Medical, PLLC CurrentSince Oct 2, 2017 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Good Health Medical, PLLC Past Accepting new patients

Locations

525 S Watson Rd
Ste 200
Buckeye, AZ 85326
Phone (602) 726-8750

525 S Watson Rd
Buckeye, AZ 85326
Phone (623) 925-3980

261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888

3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983

428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400

18185 N 83rd Ave
Ste 107
Glendale, AZ 85308
Phone (623) 583-0306

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888

1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880

1840 S Stapley Dr
Ste 137
Mesa, AZ 85204
Phone (602) 952-0002

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
  • Direct secure messaging: dawn.maxwell.1@600.direct.athenahealth.com

Organizations & group practices 6

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": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1487163218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N ROOSEVELT AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262616",
            "telephone_number": "480-305-2888",
            "fax_number": "480-305-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S WATSON RD",
            "city": "BUCKEYE",
            "state": "AZ",
            "postal_code": "853263449",
            "telephone_number": "602-726-8750",
            "fax_number": "623-925-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "DAWN",
        "middle_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "AP10581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckeye, AZ

Sources for this page

Verify at the official NPI Registry.