Individual provider Active NPI

Roselyn Agulto Maglanoc, FNP

  • Family Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1558061044
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03230042 Issued in AZ
Practice address
23033 E Orchard LN
Queen Creek, AZ 85142-2151
Phone
(443) 562-9387
NPI assigned
Mar 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03230042 AZ Primary

Addresses

Primary practice location

23033 E Orchard LN
Queen Creek, AZ 85142-2151

Mailing address

23033 E Orchard LN
Queen Creek, AZ 85142-2151
Phone (443) 562-9387

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
I20240530002065 AZ Practitioner - Nurse Practitioner 5799127148 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
Group practices
Lungs and Sleep Consultants PLLCGroup PAC ID 7416213905, 2 clinicians

Practice addresses (Care Compare)

2121 E Pecos Rd
Suite 3
Chandler, AZ 85225-6075
Phone (480) 398-2480

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F03230042AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lungs & Sleep Consultants PLLC CurrentSince Apr 13, 2024 Accepting new patients

Locations

1343 N Alma School Rd
Ste 170
Chandler, AZ 85224
Phone (480) 716-8080

2121 E Pecos Rd
Ste 3
Chandler, AZ 85225
Phone (480) 325-8173

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1558061044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23033 E ORCHARD LN",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422151",
            "telephone_number": "443-562-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23033 E ORCHARD LN",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422151",
            "telephone_number": "443-562-9387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLANOC",
        "first_name": "ROSELYN",
        "middle_name": "AGULTO",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F03230042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.