Individual provider Active NPI

Megan Anne Mayne, MSRN, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1790338085
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07190909 Issued in AZ
Practice address
315 W Irvington Rd Ste 101
Tucson, AZ 85714-3150
Phone
(520) 294-1740
NPI assigned
Jul 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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 F07190909 AZ Primary

Addresses

Primary practice location

315 W Irvington Rd Ste 101
Tucson, AZ 85714-3150

Mailing address

12900 Park Plaza Dr Ste 150
Cerritos, CA 90703-9329
Phone (562) 977-4639

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
I20210607000800 AZ Practitioner - Nurse Practitioner 9739512161 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07190909AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Post-Acute Medical Services 1 PC CurrentSince Jun 29, 2022 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince May 28, 2021 Accepting new patients
Arizona Acute Medical Services 1 PC CurrentSince Jun 17, 2023 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince May 28, 2021 Accepting new patients
NM Pacs 2 LLC CurrentSince Jun 29, 2022 Accepting new patients
Pathways Medical Partners CurrentSince Sep 1, 2022 Accepting new patients
Catalina Hospice PLLC PastSince Sep 20, 2020 Accepting new patients

Locations

191 W Esperanza Blvd
Green Valley, AZ 85614
Phone (520) 791-7300

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

5755 E Main St
Mesa, AZ 85205
Phone (480) 214-2400

1119 E Rancho Vistoso Blvd
Oro Valley, AZ 85755
Phone (520) 825-4669

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

3380 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 775-0045

2401 E Hunt Dr
Show Low, AZ 85901
Phone (928) 537-5333

4705 S Landing Way
Tucson, AZ 85714
Phone (520) 294-1740

7091 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 402-6092

4821 N Stone Ave
Tucson, AZ 85704
Phone (520) 314-3300

1700 E River Rd
Unit 65177
Tucson, AZ 85728
Phone (520) 635-9103

1921 W Hospital Dr
Tucson, AZ 85704
Phone (520) 544-5200

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

Interoperability endpoints

  • Direct secure messaging: megan.mayne.p4@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: megan.mayne.1@32527.direct.athenahealth.com

Organizations & group practices 7

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": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571356800000",
    "number": "1790338085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 PARK PLAZA DR STE 150",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907039329",
            "telephone_number": "562-977-4639",
            "fax_number": "562-741-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W IRVINGTON RD STE 101",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857143150",
            "telephone_number": "520-294-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNE",
        "first_name": "MEGAN",
        "middle_name": "ANNE",
        "credential": "MSRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2019-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "F07190909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.