NPIMap

Individual provider Active NPI

Mary Ellen Lawrence, M.D.

  • Infectious Disease Physician
  • Prescott, AZ
National Provider Identifier
1922117738
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD2003-0768 Issued in NM
Practice address
Naz Hospitalists
1003 Willow Creek Rd
Prescott, AZ 86305
Phone
(928) 771-5470
Fax
(928) 771-5471
NPI assigned
Aug 29, 2006
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD2003-0768 NM Primary
Hospitalist Physician 208M00000X 42015 AZ

Addresses

Primary practice location

Naz Hospitalists
1003 Willow Creek Rd
Prescott, AZ 86305

Mailing address

6 Los Gatos LN
Santa Fe, NM 87507-4258
Phone (505) 629-8260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040709001046 NM Practitioner - Internal MedicinePractitioner - Infectious Disease 1850379405 Reassigns benefits to 2 organizations
I20100322000555 AZ Practitioner - Internal MedicinePractitioner - Infectious DiseasePractitioner - Hospitalist 1850379405 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2003-0768NMMDInfectious Disease Physician
42015AZMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Dec 16, 2022 Accepting new patients
Yrmc Hospice CurrentSince Nov 1, 2020 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Mar 15, 2017 Accepting new patients
Hospitalist Medicine Healthcare LLC Hospitalist CurrentSince Jun 1, 2014 Accepting new patients
Unm Medical Group Inc CurrentSince Dec 16, 2022 Accepting new patients
Yavapai Pathology Associates PLC Current Accepting new patients
Yavapai Community Hospital Association CurrentSince Nov 1, 2020 Accepting new patients
Yavapai Community Hospital Association Current Accepting new patients
McKenzie Physician Services LLC Past Accepting new patients
Scenic Drive Inpatient Services LLC Hospitalist Past Accepting new patients
Sage Family Health Center LTD Co Family Medicine Past Accepting new patients

Locations

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

1600 S White Mountain Rd
Show Low, AZ 85901

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2400 Unser Blvd SE
Rio Rancho, NM 87124
Phone (505) 253-0000

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Organizations & group practices 11

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1922117738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LOS GATOS LN",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875074258",
            "telephone_number": "505-629-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NAZ HOSPITALISTS",
            "address_2": "1003 WILLOW CREEK RD",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86305",
            "telephone_number": "928-771-5470",
            "fax_number": "928-771-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "MARY ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NM",
            "license": "MD2003-0768",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "42015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.