MARY ELLEN RADOSEVICH FNP-C
NPI 1245534726
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Mary Radosevich's NPI number?

The NPI number for Mary Radosevich is 1245534726. It was assigned to this individual provider in the NPPES registry on December 27, 2010.

Q: What is Mary Radosevich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Radosevich was last updated on March 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 27, 2010PECOS EnrolledAccepts Medicare Assignment

4375 E IRMA LN, PHOENIX, AZ 85050(480) 890-5800 Get Directions Write a Review

NPPES record last updated: March 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mary Ellen Radosevich Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY ELLEN RADOSEVICH FNP-C (NPI 1245534726) is an individual family provider in Phoenix, Arizona, licensed in Arizona (AP3727) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1245534726

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARY ELLEN RADOSEVICHCredential: FNP-C

Location Address4375 E IRMA LNPhoenix, AZ 85050-4312

Mailing Address4375 E Irma LnPhoenix, AZ 85050-4312 · (480) 890-5800

Phone(480) 890-5800

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateDecember 27, 2010

Last NPPES UpdateMarch 16, 2025

NPPES CertifiedMarch 16, 2025

✔ NPI 1245534726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP3727

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP3727 (AZ)

4375 E IRMA LN, Phoenix, AZ 85050

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Ellen Radosevich Fnp-c 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.

PECOS PAC ID2365692134

PECOS Enrollment IDI20121101000579

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

188 services183 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

35 services35 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85050 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANDREA ELIZABETH GOLDBERG MD

Internal Medicine