Individual provider Active NPI

Mary Frausto, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1811326945
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5179 Issued in AZ
Practice address
15215 S 48TH St Ste 120
Phoenix, AZ 85044-9137
Phone
(480) 428-0930
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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 AP5179 AZ Primary

Addresses

Primary practice location

15215 S 48TH St Ste 120
Phoenix, AZ 85044-9137

Mailing address

9900 N Central Expy Ste 500
Dallas, TX 75231-0928
Phone (480) 428-0930

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
I20140121000937 AZ Practitioner - Nurse Practitioner 8224266200 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Dermatology PLLCGroup PAC ID 1557355385, 69 clinicians

Practice addresses (Care Compare)

15215 S 48TH St
Suite 120
Phoenix, AZ 85044-9137
Phone (480) 706-6580

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP5179AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Dermatology, PLLC CurrentSince Mar 23, 2026 Accepting new patients
Spectrum Dermatology, PLLC CurrentSince Jun 6, 2022 Accepting new patients
Center for Dermatology, PLLC Past Accepting new patients
University of Arizona Past Accepting new patients

Locations

2394 N Alma School Rd
Chandler, AZ 85224
Phone (480) 735-2118

3011 S Lindsay Rd
Ste 111
Gilbert, AZ 85295
Phone (480) 507-5011

5651 W Talavi Blvd
Ste 150
Glendale, AZ 85306
Phone (480) 889-2654

4444 N 32nd St
Ste 110
Phoenix, AZ 85018
Phone (480) 750-2450

15215 S 48th St
Ste 120
Phoenix, AZ 85044
Phone (480) 428-0930

20950 N Tatum Blvd
Ste 250
Phoenix, AZ 85050
Phone (480) 607-0060

9060 E Via Linda
Ste 235
Scottsdale, AZ 85258
Phone (480) 948-9400

14275 N 87th St
Ste 110
Scottsdale, AZ 85260
Phone (480) 223-9501

9500 E Ironwood Square Dr
Ste 110
Scottsdale, AZ 85258
Phone (480) 565-1132

13640 N 99th Ave
Ste 300
Sun City, AZ 85351
Phone (623) 875-2600

14418 W Meeker Blvd
Ste 106
Sun City West, AZ 85375
Phone (623) 544-8400

9900 N Central Expy
Ste 500
Dallas, TX 75231
Phone (214) 692-1900

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/27327/brand/1/csg/1/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.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1811326945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310928",
            "telephone_number": "480-428-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 S 48TH ST STE 120",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850449137",
            "telephone_number": "480-428-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAUSTO",
        "first_name": "MARY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.