KATHLEEN MAHONEY RN MSN CPNP
NPI 1255380770
Nurse Practitioner - Pediatrics in Phoenix, AZ
About Kathleen Mahoney Rn Msn Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN MAHONEY RN MSN CPNP (NPI 1255380770) is an individual pediatrics provider in Phoenix, Arizona, licensed in Arizona (226450) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Mahoney Rn Msn Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Mahoney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glendale, AZ 85303
- Reassigned Medicare billing, Arizona enrollment
- 166 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 85033 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kathleen Mahoney's NPI number?
The NPI number for Kathleen Mahoney is 1255380770. It was assigned to this individual provider in the NPPES registry on May 10, 2006.
Where is Kathleen Mahoney located?
Kathleen Mahoney practices at 6601 W Thomas Rd, Phoenix, AZ 85033. The listed phone number is (602) 243-7277.
What is Kathleen Mahoney's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kathleen Mahoney enrolled in Medicare?
Yes. Kathleen Mahoney is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kathleen Mahoney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Mahoney reassigns Medicare benefits to Mountain Park Health Center (Glendale, AZ). The 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 Kathleen Mahoney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Mahoney accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Kathleen Mahoney 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 Kathleen Mahoney was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.
# Kathleen Mahoney, RN MSN CPNP · NPI 1255380770
Pediatrics physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since May 10, 2006.
## Identity
- **NPI:** 1255380770 (Entity type: Individual)
- **Enumerated:** May 10, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 226450 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 6601 W THOMAS RD, Phoenix, AZ 85033-5700
- **Phone:** (602) 243-7277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mountain Park Health Center (NPI 1316637481, Glendale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1255380770) · Data from the CMS NPPES public registry.