Individual provider Active NPI

Maryann L Moyer, FNP-C

  • Family Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1932549961
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5016 Issued in AZ
Practice address
3331 E Baseline Rd
Gilbert, AZ 85234-2633
Phone
(480) 289-3532
NPI assigned
Jul 5, 2013
Last updated
Nov 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

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 AP5016 AZ Primary

Addresses

Primary practice location

3331 E Baseline Rd
Gilbert, AZ 85234-2633

Mailing address

PO Box 7060
Chandler, AZ 85246-7060
Phone (480) 444-2017

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
I20130813000006 AZ Practitioner - Nurse Practitioner 7214179761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Medical Group Arizona LLCGroup PAC ID 3173872835, 152 clinicians

Practice addresses (Care Compare)

5620 W Thunderbird Rd
Suite F1
Glendale, AZ 85306-4652
Phone (888) 698-6727

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC CurrentSince Mar 1, 2022 Accepting new patients
Charina Tecson MD PC PastSince Sep 1, 2004 Accepting new patients

Locations

300 S Phelps Dr
Apache Junction, AZ 85120
Phone (480) 536-6850

595 N Dobson Rd
Ste 65
Chandler, AZ 85224

3331 E Baseline Rd
Gilbert, AZ 85234
Phone (480) 444-2017

5620 W Thunderbird Rd
Ste F1
Glendale, AZ 85306
Phone (602) 938-6960

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

220 N Stapley Dr
Ste B
Mesa, AZ 85203
Phone (480) 718-1290

3048 E Baseline Rd
Ste 109
Mesa, AZ 85204
Phone (480) 536-6845

4360 E Brown Rd
Ste 113
Mesa, AZ 85205
Phone (480) 218-2779

6242 E Arbor Ave
Ste 111
Mesa, AZ 85206
Phone (480) 610-8183

6820 E Brown Rd
Mesa, AZ 85207
Phone (480) 718-1285

6828 E Brown Rd
Ste 102
Mesa, AZ 85207
Phone (480) 573-0379

Interoperability endpoints

  • Direct secure messaging: maryann.moyer.1@19654.direct.athenahealth.com
  • Direct secure messaging: mmoyer@hmg.gwaydirect.com

Organizations & group practices 2

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": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1932549961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7060",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852467060",
            "telephone_number": "480-444-2017",
            "fax_number": "480-545-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 E BASELINE RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342633",
            "telephone_number": "480-289-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOYER",
        "first_name": "MARYANN",
        "middle_name": "L",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.