Misty Maple, FNP-C in Lake Havasu City, AZ - Medicare Nurse Practitioner

Misty Maple, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lake Havasu City, Arizona. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Arizona Emergency Medicine Specialists Pc and her current practice location is 297 Lake Havasu Ave S Ste 204, Lake Havasu City, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 453-1970.

Misty Maple is licensed to practice in Arizona (license number AP8774) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1891146957.

Contact Information

	Misty Maple, FNP-C
	297 Lake Havasu Ave S Ste 204, Lake Havasu City, AZ 86403-6526
	(928) 453-1970
	Not Available

Map and Direction

Provider's Profile

Full Name	Misty Maple
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	297 Lake Havasu Ave S Ste 204, Lake Havasu City, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Misty Maple graduated from nursing school in 2016

NPI Data:

NPI Number: 1891146957
Provider Enumeration Date: 06/29/2016
Last Update Date: 02/10/2023

Medicare PECOS Information:

PECOS PAC ID: 0840584504
Enrollment ID: I20160803002772

Medical Identifiers

Medical identifiers for Misty Maple such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891146957	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP8774 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Havasu Regional Medical Center	Lake havasu city, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Arizona Emergency Medicine Specialists Pc	8921295684	15

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Misty Maple allows following entities to bill medicare on her behalf.

Entity Name	Arizona Emergency Medicine Specialists Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134439706 PECOS PAC ID: 8921295684 Enrollment ID: O20110208000837

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Maple is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Misty Maple, FNP-C 4115 Vagabond Dr, Lake Havasu City, AZ 86406-9230 Ph: (928) 680-0149	Misty Maple, FNP-C 297 Lake Havasu Ave S Ste 204, Lake Havasu City, AZ 86403-6526 Ph: (928) 453-1970

Reviews and Comments

Nurse Practitioner Nurses in Lake Havasu City, AZ

Nikola Marie Neill, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1760 Mcculloch Blvd N, Ste 100, Lake Havasu City, AZ 86403 Phone: 928-854-5368 Fax: 928-854-4462
Ms. Stephanie Louise Herrick, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1987 Mcculloch Blvd N, Ste 101, Lake Havasu City, AZ 86403 Phone: 928-453-6963 Fax: 928-453-7011
June Staley, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1845 Mcculloch Blvd N, Suite B-1, Lake Havasu City, AZ 86403 Phone: 928-453-2661 Fax: 928-453-2672
Stephanie R Brison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1851 Mesquite Ave, Lake Havasu City, AZ 86403 Phone: 928-854-0060
Allison Johnson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185
Darion Alexxis Roush, AGACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Civic Center Ln, Lake Havasu City, AZ 86403 Phone: 928-855-8185
Mrs. Stevie Jean Mueller, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 365 Lake Havasu Ave S, Lake Havasu City, AZ 86403 Phone: 928-733-6293

Misty Maple, FNP-C - Medicare Nurse Practitioner in Lake Havasu City, AZ