Individual provider Active NPI

Tina Mugford, NP

  • Family Nurse Practitioner
  • Apache Junction, AZ
National Provider Identifier
1992154348
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP8733 Issued in AZ
Practice address
185 N. Apache Trail
Ste 7
Apache Junction, AZ 85120
Phone
(480) 999-0598
Fax
(480) 336-3378
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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 AP8733 AZ Primary

Addresses

Primary practice location

185 N. Apache Trail
Ste 7
Apache Junction, AZ 85120

Mailing address

185 N. Apache Trail
Ste 7
Apache Junction, AZ 85120
Phone (480) 999-0598

Other identifiers 1

IdentifierTypeStateIssuer
1992154348OtherAZNPI

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
I20160727001232 AZ Practitioner - Nurse Practitioner 5698068799 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medcom Medical, LLC CurrentSince Aug 1, 2016 Accepting new patients

Locations

108 S Broad St
Globe, AZ 85501
Phone (928) 425-6592

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1992154348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 N. APACHE TRAIL",
            "address_2": "STE 7",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "85120",
            "telephone_number": "480-999-0598",
            "fax_number": "480-336-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 N. APACHE TRAIL",
            "address_2": "STE 7",
            "city": "APACHE JUNCTION",
            "state": "AZ",
            "postal_code": "85120",
            "telephone_number": "480-999-0598",
            "fax_number": "480-336-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUGFORD",
        "first_name": "TINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP8733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992154348",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apache Junction, AZ

Sources for this page

Verify at the official NPI Registry.