MISTY MAPLE FNP-C
NPI 1891146957
Nurse Practitioner - Family in Lake Havasu City, AZ

Q: What is Misty Maple's NPI number?

The NPI number for Misty Maple is 1891146957. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Q: What is Misty Maple'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 Misty Maple was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 29, 2016PECOS Enrolled

93.09/100

CMS Quality Rating

297 LAKE HAVASU AVE S STE 204, LAKE HAVASU CITY, AZ 86403(928) 453-1970 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2023, Jun 29, 2016 (2 updates tracked since 2016).

On this page

About Misty Maple Fnp-c NPPES

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

MISTY MAPLE FNP-C (NPI 1891146957) is an individual family provider in Lake Havasu City, Arizona, licensed in Arizona (AP8774) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Havasu City.

NPPES Registry Identity

NPI1891146957

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISTY MAPLECredential: FNP-C

Location Address297 LAKE HAVASU AVE S STE 204Lake Havasu City, AZ 86403-6526

Mailing Address4115 Vagabond DrLake Havasu City, AZ 86406-9230 · (928) 680-0149 · Fax (928) 680-0149

Phone(928) 453-1970

Sole ProprietorYes

Enumeration DateJune 29, 2016

Last NPPES UpdateApril 16, 20252 updates tracked since enumeration

NPPES CertifiedApril 16, 2025

✔ NPI 1891146957 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 · AP8774

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP8774 (AZ)

297 LAKE HAVASU AVE S STE 204, Lake Havasu City, AZ 86403

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Secondary Practice Location 1

Location 1101 Civic Center LnLake Havasu City, AZ 86403-5607 · Phone (928) 486-1946

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty Maple Fnp-c 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.

Medicare Billing Reassignments

Medicare enrollment records show Misty Maple reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arizona Emergency Medicine Specialists PC

0.5 mi

Emergency Medicine

101 CIVIC CENTER LN
Lake Havasu City, AZ 86403

Reassigned Medicare billing, Arizona enrollment
58 clinicians in this Medicare group

NPI 1134439706 (928) 855-8185

Emergency Physicians Southwest, PC

170 mi

Emergency Medicine

6644 E BAYWOOD AVE
Mesa, AZ 85206

Reassigned Medicare billing, Arizona enrollment
289 clinicians in this Medicare group

NPI 1912053752 (480) 321-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

305 services299 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

285 services254 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

142 services140 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

42 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86403 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

76.99

Other Providers at the Same Location NPPES 3

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

SHADER VISION

Ophthalmology

297 LAKE HAVASU AVE S STE 204
LAKE HAVASU CITY, AZ 86403

Mohave County (541) 990-0354

FPS MEDICAL CENTER LTD

Family Medicine

297 LAKE HAVASU AVE S STE 204
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 453-1970

JONATHAN SHADER DO

Ophthalmology

297 LAKE HAVASU AVE S STE 204
LAKE HAVASU CITY, AZ 86403

Mohave County (928) 490-2121

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 Misty Maple's NPI number?

The NPI number for Misty Maple is 1891146957. It was assigned to this individual provider in the NPPES registry on June 29, 2016.

Where is Misty Maple located?

Misty Maple practices at 297 Lake Havasu Ave S Ste 204, Lake Havasu City, AZ 86403. The listed phone number is (928) 453-1970.

What is Misty Maple's specialty?

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

Is Misty Maple enrolled in Medicare?

Yes. Misty Maple is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Misty Maple's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Maple reassigns Medicare benefits to 2 organizations: Arizona Emergency Medicine Specialists PC (Lake Havasu City, AZ) and Emergency Physicians Southwest, PC (Mesa, AZ). Each 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 Misty Maple's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Maple accept?

Health plans from Blue Cross Blue Shield of Arizona list Misty Maple 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 Misty Maple was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.