Individual provider Active NPI

Magimvuyu N Mumbere, NP

  • Gerontology Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1629736103
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AG07210034 Issued in AZ
Practice address
2141 E Broadway Rd
Tempe, AZ 85282-1892
Phone
(480) 237-5098
NPI assigned
Dec 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AG07210034 AZ
Gerontology Nurse Practitioner 363LG0600X AG07210034 AZ Primary

Addresses

Primary practice location

2141 E Broadway Rd
Tempe, AZ 85282-1892

Mailing address

4731 E Redfield Rd
Gilbert, AZ 85234-7858
Phone (630) 400-3029

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
I20220129000295 AZ Practitioner - Nurse Practitioner 6901299791 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of ArizonaGroup PAC ID 5496125569, 38 clinicians

Practice addresses (Care Compare)

13755 N Litchfield Rd
Suite 105
Surprise, AZ 85379-4288
Phone (337) 991-9276

Hospital & facility affiliations

  • Summit Home Health LLC Home health agency, Phoenix, AZ, CCN 037482

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG07210034AZMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Arizona CurrentSince Apr 1, 2025 Accepting new patients
Pophealthcare Medical Services of Az, PC Adult Health CurrentSince Dec 27, 2021 Accepting new patients
Pophealthcare Medical Services of Az, PC CurrentSince Dec 27, 2021 Accepting new patients
CH Specialty Services Az LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

13755 N Litchfield Rd
Ste 105
Surprise, AZ 85379
Phone (623) 248-7404

2141 E Broadway Rd
Ste 120
Tempe, AZ 85282
Phone (480) 237-5098

113 Seaboard Ln
Ste 200B
Franklin, TN 37067
Phone (615) 721-7020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1629736103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4731 E REDFIELD RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852347858",
            "telephone_number": "630-400-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E BROADWAY RD",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821892",
            "telephone_number": "480-237-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMBERE",
        "first_name": "MAGIMVUYU",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AG07210034",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AZ",
            "license": "AG07210034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.