Individual provider Active NPI

Pearl Anne Maurer, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1639167174
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2101 Issued in AZ
Practice address
652 E Warner Rd Ste 107
Gilbert, AZ 85296-3073
Phone
(480) 539-8680
Fax
(480) 539-1763
NPI assigned
Oct 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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 AP2101 AZ Primary

Addresses

Primary practice location

652 E Warner Rd Ste 107
Gilbert, AZ 85296-3073

Mailing address

15510 S. Mountain Rd.
Mesa, AZ 85212
Phone (480) 459-8306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NM, SD, MI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20051207000606 AZ Practitioner - Nurse Practitioner 0840211751 Reassigns benefits to 1 organization
I20230308003203 NM Practitioner - Nurse Practitioner 0840211751 Reassigns benefits to 1 organization
I20230316000616 SD Practitioner - Nurse Practitioner 0840211751 Reassigns benefits to 1 organization
I20231114002250 MI Practitioner - Nurse Practitioner 0840211751 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP2101AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Dec 9, 2022 Accepting new patients
Signify Health, LLC CurrentSince Oct 16, 2022 Accepting new patients
East Valley Vaccination and Examination Center Past Accepting new patients

Locations

2705 S Alma School Rd
Chandler, AZ 85286
Phone (480) 820-7246

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

319 Coteau St
Pierre, SD 57501
Phone (605) 220-1093

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 3

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": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1639167174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15510 S. MOUNTAIN RD.",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85212",
            "telephone_number": "480-459-8306",
            "fax_number": "480-539-1763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 E WARNER RD STE 107",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963073",
            "telephone_number": "480-539-8680",
            "fax_number": "480-539-1763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURER",
        "first_name": "PEARL",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.