MAGGIE ELIZABETH MOULTON PA-C
NPI 1245999697
Physician Assistant - Surgical in Phoenix, AZ

Active since December 14, 2021PECOS EnrolledAccepts Medicare Assignment
2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5112 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, May 28, 2025, May 19, 2025 and 2 more (5 updates tracked since 2021).

About Maggie Elizabeth Moulton Pa-c NPPES

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

MAGGIE ELIZABETH MOULTON PA-C (NPI 1245999697) is an individual surgical provider in Phoenix, Arizona, licensed in Arizona (10614) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1245999697
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMAGGIE ELIZABETH MOULTONCredential: PA-C
Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973
Mailing Address2120 E Ray Rd Unit 158Gilbert, AZ 85296-4299
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 14, 2021
Last NPPES UpdateJune 6, 20255 updates tracked since enumeration
NPPES CertifiedJune 6, 2025
NPI 1245999697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in AZ · 10614
Also ListedPhysician AssistantTaxonomy 363A00000X · License 10614 (AZ)
2601 E ROOSEVELT ST, Phoenix, AZ 85008

Other Names 1

Former Name (1)Maggie Elizabeth Oyedeji

Accepted 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

Maggie Elizabeth Moulton Pa-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 ID1557753753
PECOS Enrollment IDI20250619000116
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.

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.

Emergency Medicine (Emergency Medical Services)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
General Acute Care Hospital
2601 E ROOSEVELT ST, DEPARTMENT OF MEDICINE
PHOENIX, AZ 85008
Surgery (Trauma Surgery)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Plastic Surgery
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Psychiatry & Neurology (Psychiatry)
2601 E ROOSEVELT ST
PHOENIX, AZ 85008
Internal Medicine
2601 E ROOSEVELT ST
PHOENIX, AZ 85008

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 Maggie Moulton's NPI number?

The NPI number for Maggie Moulton is 1245999697. It was assigned to this individual provider in the NPPES registry on December 14, 2021. The provider is also known as Maggie Elizabeth Oyedeji.

Where is Maggie Moulton located?

Maggie Moulton practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5112.

What is Maggie Moulton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Maggie Moulton enrolled in Medicare?

Yes. Maggie Moulton 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.

What insurance does Maggie Moulton accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Moda Health Plan, Inc. list Maggie Moulton 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 Maggie Moulton was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.