Individual provider Active NPI

Mary Jo Colorafi, FNP

  • Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1497793137
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP1544 Issued in AZ
Practice address
20401 N 73Rd St Ste 105
Scottsdale, AZ 85255-4146
Phone
(480) 505-3484
Fax
(480) 505-3348
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X RN048547 AZ
Nurse Practitioner 363L00000X RN048547 AZ
Nurse Practitioner 363L00000X AP1544 AZ Primary

Addresses

Primary practice location

20401 N 73Rd St Ste 105
Scottsdale, AZ 85255-4146

Mailing address

2510 W Dunlap Ave
Phoenix, AZ 85021-2737
Phone (602) 789-0344

Other practice location 1

11034 N 23rd Dr Ste 105B
Phoenix, AZ 85029-4743
Phone (602) 639-0189

Other identifiers 3

IdentifierTypeStateIssuer
261959MedicaidAZ
1497793137OtherAZMEDICARE UPIN P83976
834574MedicaidAZ

Other names 1

  • Mary Jo Colorafi Professional 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
I20070511000074 AZ Practitioner - Nurse Practitioner 6709982564 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP1544AZMDNurse Practitioner
RN048547AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
VMD Primary Providers of Arizona Family Medicine CurrentSince Dec 1, 2020 Accepting new patients
Take Care Health Arizona PC Family Past Accepting new patients
Ryan Internal Medicine PC Past Accepting new patients
Arizona Post-Acute Medical Services 1 PC Past Accepting new patients

Locations

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

11250 E Via Linda
Ste 101
Scottsdale, AZ 85259
Phone (480) 716-5749

10405 N La Canada Dr
Tucson, AZ 85737
Phone (520) 237-5934

Interoperability endpoints

  • Direct secure messaging: marycolorafi@ad.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/CFIEAA

Organizations & group practices 5

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1497793137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W DUNLAP AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212737",
            "telephone_number": "602-789-0344",
            "fax_number": "602-870-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20401 N 73RD ST STE 105",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554146",
            "telephone_number": "480-505-3484",
            "fax_number": "480-505-3348"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11034 N 23rd Dr Ste 105B",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850294743",
            "country_code": "US",
            "telephone_number": "602-639-0189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLORAFI",
        "first_name": "MARY",
        "middle_name": "JO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "RN048547",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "RN048547",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP1544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261959",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN P83976",
            "identifier": "1497793137",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834574",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "COLORAFI",
            "middle_name": "JO",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.