Megan Furtak

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

264848 Issued in AZ

Practice address

2451 E Baseline Rd Ste 400
Gilbert, AZ 85234-2472

Phone

(480) 494-5357

NPI assigned

Jul 21, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 29, 2024 through Mar 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ageless Women'S Health Az LLC

  • Family Medicine Physician
  • Gilbert, AZ
  • NPI 1891493904
  NPD

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1902531007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8248 E ELM DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852573026",
            "telephone_number": "708-280-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 E BASELINE RD STE 400",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342472",
            "telephone_number": "480-494-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURTAK",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-21",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "264848",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "264848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josalyn Camille Funches, M.D.
• Emily Fung, PT
• Michael J Funicello, DC
• Katrinka Funk
• Sienna Furman, SLPA
• Fusion Healthways LLC
• Batul Fyazi
• G & S Medical, LLC
• Celeste Gabaldon
• Jacqueline Anne Gabardy, L.AC.

• All providers in Gilbert, AZ
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.