EDGAR MAYORQUIN NP
NPI 1619462009
Nurse Practitioner in San Luis, AZ

Q: What is Edgar Mayorquin's NPI number?

The NPI number for Edgar Mayorquin is 1619462009. It was assigned to this individual provider in the NPPES registry on June 27, 2018.

Q: What is Edgar Mayorquin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Edgar Mayorquin was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since June 27, 2018PECOS Enrolled

1896 E BABBITT LN, SAN LUIS, AZ 85349(928) 722-6112(928) 722-6113 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 19, 2024, Jun 27, 2018 (2 updates tracked since 2018).

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About Edgar Mayorquin Np NPPES

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

EDGAR MAYORQUIN NP (NPI 1619462009) is an individual nurse practitioner in San Luis, Arizona, licensed in Arizona (AP11434) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619462009

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameEDGAR MAYORQUINCredential: NP

Location Address1896 E BABBITT LNSan Luis, AZ 85349

Mailing AddressPo Box 617Somerton, AZ 85350-0617 · (928) 662-0406

Phone(928) 722-6112

Fax(928) 722-6113

Sole ProprietorNo

Enumeration DateJune 27, 2018

Last NPPES UpdateAugust 19, 20242 updates tracked since enumeration

NPPES CertifiedAugust 19, 2024

✔ NPI 1619462009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AZ · AP11434

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1896 E BABBITT LN, San Luis, AZ 85349

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Other Identifiers 1

MedicaidPENDINGAZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, 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 (PECOS)

Edgar Mayorquin Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85349 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 9

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

NATHANIEL SPENCER HARRIMAN M.S.S., PA-C

Physician Assistant (Medical)