Individual provider Active NPI

Nicole Lorraine Maccleary Price, D.O.

  • Obstetrics & Gynecology Physician
  • Peoria, AZ
National Provider Identifier
1750778437
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
007866 Issued in AZ
Practice address
15396 N 83Rd Ave Ste F100
Peoria, AZ 85381-5629
Phone
(602) 595-9696
NPI assigned
Apr 21, 2015
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 007866 AZ Primary

Addresses

Primary practice location

15396 N 83Rd Ave Ste F100
Peoria, AZ 85381-5629

Mailing address

15396 N 83Rd Ave Ste F100
Peoria, AZ 85381-5629
Phone (602) 595-9696

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200424001855 AZ Practitioner - Obstetrics/Gynecology 0042511651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Perinatal Services LLCGroup PAC ID 1658505011, 61 clinicians

Practice addresses (Care Compare)

5605 W Eugie Ave
Suite 111
Glendale, AZ 85304-1273
Phone (480) 756-6000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Removal of the uterus16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
007866AZMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Perinatal Services, LLC Single Specialty CurrentSince Dec 1, 2020 Accepting new patients
Banner Thunderbird Medical Center Single Specialty Past Accepting new patients
VHS of Arrowhead, Inc Past Accepting new patients
Melissa Gioia Austin, M.D., PLC Single Specialty PastSince Aug 1, 2011 Accepting new patients
Alium Health LLC Single Specialty PastSince Oct 1, 2023 Accepting new patients
Fetal and Women's Center of Arizona, LLC Single Specialty Past Accepting new patients

Locations

1910 W Frye Rd
Chandler, AZ 85224
Phone (480) 467-2145

5605 W Eugie Ave
Ste 111
Glendale, AZ 85304
Phone (480) 306-8195

6316 W Union Hills Dr
Ste 100
Glendale, AZ 85308
Phone (623) 233-1300

6320 W Union Hills Dr
Ste 1600B
Glendale, AZ 85308
Phone (602) 277-4868

1170 N Estrella Pkwy
Ste A107
Goodyear, AZ 85338
Phone (623) 263-0105

13555 W McDowell Rd
Ste 206
Goodyear, AZ 85395
Phone (602) 806-7610

2152 S Vineyard
Ste 138
Mesa, AZ 85210
Phone (480) 539-6646

3811 E Bell Rd
Ste 100
Phoenix, AZ 85032
Phone (602) 788-7211

9440 E Ironwood Square Dr
Scottsdale, AZ 85258
Phone (480) 551-9700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20219/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nicole.maccleary.price.1@20219.direct.athenahealth.com
  • Direct secure messaging: nicole.maccleary.price.2@20219.direct.athenahealth.com

Organizations & group practices 6

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": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1750778437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE F100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "602-595-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15396 N 83RD AVE STE F100",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853815629",
            "telephone_number": "602-595-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCLEARY PRICE",
        "first_name": "NICOLE",
        "middle_name": "LORRAINE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "007866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

Verify at the official NPI Registry.