LOREN CAROLINE MACDONALD NP
NPI 1033983291
Nurse Practitioner - Primary Care in Gilbert, AZ
About Loren Caroline Macdonald Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LOREN CAROLINE MACDONALD NP (NPI 1033983291) is an individual primary care provider in Gilbert, Arizona, licensed in Arizona (300009) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Loren Caroline Macdonald Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Loren Macdonald reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gilbert, AZ 85297
- Reassigned Medicare billing, Arizona enrollment
Phoenix, AZ 85014
- Reassigned Medicare billing, Arizona enrollment
- 41 clinicians in this Medicare group
Texarkana, TX 75503
- Reassigned Medicare billing, Arizona enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Loren Macdonald's NPI number?
The NPI number for Loren Macdonald is 1033983291. It was assigned to this individual provider in the NPPES registry on November 8, 2023.
Where is Loren Macdonald located?
Loren Macdonald practices at 4909 S Power Rd Suite 103-122, Gilbert, AZ 85212. The listed phone number is (480) 915-2455.
What is Loren Macdonald's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Loren Macdonald enrolled in Medicare?
Yes. Loren Macdonald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Loren Macdonald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Loren Macdonald reassigns Medicare benefits to 3 organizations: Infinite Health Care PLLC (Gilbert, AZ), Geriatric Solutions - Hov, LLC (Phoenix, AZ) and Pallicare, Inc (Texarkana, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Loren Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Loren Macdonald accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Loren Macdonald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Loren Macdonald was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.