Individual provider Active NPI

Mai-Lin Rollon, CNM

  • Advanced Practice Midwife
  • Queen Creek, AZ
National Provider Identifier
1972088524
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
217854 Issued in AZ
Practice address
22711 S Ellsworth Rd Ste 104
Queen Creek, AZ 85142-6789
Phone
(480) 782-0993
Fax
(833) 337-0386
NPI assigned
Sep 29, 2018
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 217854 AZ Primary

Addresses

Primary practice location

22711 S Ellsworth Rd Ste 104
Queen Creek, AZ 85142-6789

Mailing address

3815 S Val Vista Dr Ste 101
Gilbert, AZ 85297-7309
Phone (480) 782-0993

Other practice location 1

3370 S Mercy Rd Ste 314
Gilbert, AZ 85297-0417
Phone (480) 782-0993

Other names 1

  • Mai-Lin Deneen Cooper Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190627003485 AZ Practitioner - Certified Nurse Midwife (CNM) 1153655964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

1950 W Frye Rd
Suite B
Chandler, AZ 85224-6255
Phone (480) 895-9555

22711 S Ellsworth Rd
Suite 104
Queen Creek, AZ 85142-6789
Phone (480) 782-0993

3370 S Mercy Rd
Suite 314
Gilbert, AZ 85297-0417
Phone (480) 782-0993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC CurrentSince May 12, 2019 Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1757 E Melrose St
Gilbert, AZ 85297

3370 S Mercy Rd
Ste 314
Gilbert, AZ 85297
Phone (480) 782-0993

3815 S Val Vista Dr
Ste 101
Gilbert, AZ 85297
Phone (480) 782-0993

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

4530 E Ray Rd
Ste 125
Phoenix, AZ 85044
Phone (480) 759-9191

9930 W Indian School Rd
Phoenix, AZ 85037
Phone (623) 846-7558

22711 S Ellsworth Rd
Ste 104
Queen Creek, AZ 85142
Phone (480) 782-0993

1840 E Baseline Rd
Ste A3
Tempe, AZ 85283
Phone (480) 618-1342

Interoperability endpoints

  • Direct secure messaging: mai-lin.rollon.1@14294.direct.athenahealth.com

Organizations & group practices 1

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": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1972088524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 S VAL VISTA DR STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977309",
            "telephone_number": "480-782-0993",
            "fax_number": "855-329-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22711 S ELLSWORTH RD STE 104",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426789",
            "telephone_number": "480-782-0993",
            "fax_number": "833-337-0386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3370 S Mercy Rd Ste 314",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852970417",
            "country_code": "US",
            "telephone_number": "480-782-0993",
            "fax_number": "833-337-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROLLON",
        "first_name": "MAI-LIN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-29",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "217854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAI-LIN",
            "last_name": "COOPER",
            "middle_name": "DENEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.