Individual provider Active NPI

Mary Quinn McFarlin, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Benson, AZ
National Provider Identifier
1639933658
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
302523 Issued in AZ
Practice address
890 W 4TH St
Benson, AZ 85602-6437
Phone
(520) 586-3664
Fax
(520) 586-7283
NPI assigned
Feb 9, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 302523 AZ Primary

Addresses

Primary practice location

890 W 4TH St
Benson, AZ 85602-6437

Mailing address

10280 N Krauswood LN
Tucson, AZ 85737-6936
Phone (623) 810-0866

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
I20240711000962 AZ Practitioner - Nurse Practitioner 0143765479 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benson Hospital CorporationGroup PAC ID 3274443056, 20 clinicians

Practice addresses (Care Compare)

450 S Ocotillo Ave
Benson, AZ 85602-6403
Phone (520) 586-2261

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Benson Hospital Corporation CurrentSince Jun 25, 2024 Accepting new patients
Benson Hospital Corporation CurrentSince Jun 25, 2024 Accepting new patients

Locations

450 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-2261

890 W 4th St
Benson, AZ 85602
Phone (520) 586-3664

Interoperability endpoints

  • Direct secure messaging: mary.mcfarlin.1@18129.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1639933658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10280 N KRAUSWOOD LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857376936",
            "telephone_number": "623-810-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W 4TH ST",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026437",
            "telephone_number": "520-586-3664",
            "fax_number": "520-586-7283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFARLIN",
        "first_name": "MARY",
        "middle_name": "QUINN",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "302523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Benson, AZ

Sources for this page

Verify at the official NPI Registry.