EDITH K MCGUIRE CNP
NPI 1376105817
Nurse Practitioner - Family in Farmington, NM

Active since July 05, 2019PECOS EnrolledAccepts Medicare Assignment
1001 W BROADWAY STE E, FARMINGTON, NM 87401(505) 566-0346 Get Directions Write a Review

NPPES record last updated: June 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 3, 2020, Jul 5, 2019 (2 updates tracked since 2019).

About Edith K Mcguire Cnp NPPES

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

EDITH K MCGUIRE CNP (NPI 1376105817) is an individual family provider in Farmington, New Mexico, licensed in Texas (AP142112) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1376105817
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEDITH K MCGUIRECredential: CNP
Location Address1001 W BROADWAY STE EFarmington, NM 87401-5638
Mailing Address1001 W Broadway Ste EFarmington, NM 87401-5638 · (505) 566-0346
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 5, 2019
Last NPPES UpdateJune 3, 20202 updates tracked since enumeration
NPPES CertifiedJune 3, 2020
NPI 1376105817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP142112
1001 W BROADWAY STE E, Farmington, NM 87401

Other Names 1

Other Name (5)Edie Mcguire

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

Edith K Mcguire Cnp 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 ID3476889122
PECOS Enrollment IDI20200727000726
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

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
116 services59 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320005
Location801 West Maple StreetFarmington, NM 87401 · San Juan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers20 claims35 services$5.76 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers26 claims26 services$15.14 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers20 claims20 services$4.47 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
6 suppliers71 claims76 services$80.81 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers29 claims32 services$32.97 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1001 W BROADWAY STE E
FARMINGTON, NM 87401
Behavior Analyst
1001 W BROADWAY STE E
FARMINGTON, NM 87401
Counselor
1001 W BROADWAY STE E
FARMINGTON, NM 87401
Pharmacy (Community/Retail Pharmacy)
1001 W BROADWAY STE E
FARMINGTON, NM 87401
Nurse Practitioner
1001 W BROADWAY STE E
FARMINGTON, NM 87401

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 Edith Mcguire's NPI number?

The NPI number for Edith Mcguire is 1376105817. It was assigned to this individual provider in the NPPES registry on July 5, 2019. The provider is also known as Edie Mcguire.

Where is Edith Mcguire located?

Edith Mcguire practices at 1001 W Broadway Ste E, Farmington, NM 87401. The listed phone number is (505) 566-0346.

What is Edith Mcguire's specialty?

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

Is Edith Mcguire enrolled in Medicare?

Yes. Edith Mcguire 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 Edith Mcguire accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Edith Mcguire 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.

Is Edith Mcguire affiliated with any hospitals?

According to CMS data, Edith Mcguire is affiliated with San Juan Regional Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Edith Mcguire was last updated on June 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.