Mary E Vejnoska, APRN, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

294582 Issued in AZ

Practice address

140 N Litchfield Rd Ste 200&106
Goodyear, AZ 85338-1277

Phone

(602) 243-7277

Fax

(602) 323-8048

NPI assigned

Jul 17, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Az Rehab Consultants, LLC

  • Physical Medicine & Rehabilitation Physician
  • Gilbert, AZ
  • NPI 1396383402
  Medicare reassignment
• Mountain Park Health Center - Dental

  • Federally Qualified Health Center (FQHC)
  • Phoenix, AZ
  • NPI 1710146188
  NPD (past)

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1851070700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE STE 1600",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122908",
            "telephone_number": "602-323-3344",
            "fax_number": "602-323-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 N LITCHFIELD RD STE 200&106",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853381277",
            "telephone_number": "602-243-7277",
            "fax_number": "602-323-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEJNOSKA",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "294582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Lynn Vargas, PHARMACY TECHICIAN
• Clarence Jason Vastine, FNP-C
• Shannon Vaughan, MS, OTR/L
• Donna Marie Vaughn
• Yanire Fabiola Vega, DMD
• David Velasquez
• Grisselle Ivette Velez, MC
• Veracity Health Solutions PLLC
• VHS Outpatient Clinics, Inc.
• VHS Outpatient Clinics, Inc.

• Family Nurse Practitioner in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.