Marilyn Lee King, DNP FNP-BC PMHNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RNP2623646 Issued in AZ

Practice address

1855 W Baseline Rd
Mesa, AZ 85202-9000

Phone

(480) 831-7566

NPI assigned

Feb 23, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

University of Arizona College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Psa Behavioral Health AgencyGroup PAC ID 6305017245, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marilyn.kingnp.p1@direct.cbridges.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resilient Health, Inc.

  • Community/Behavioral Health Agency
  • Gilbert, AZ
  • NPI 1285150896
  Medicare reassignment Care Compare group
• Social Work Associates LLC

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1538573282
  Medicare reassignment NPD
• Community Bridges, Inc.

  • Adult Mental Health Clinic/Center
  • Page, AZ
  • NPI 1558095315
  NPD
• Resilient Health, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1790267011
  NPD
• Resilient Health, Inc.

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1881680452
  NPD
• Choyce Medical & Wound Care Center LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carefree, AZ
  • NPI 1174407977

  Family

  NPD (past)
• Community Bridges, Inc.

  • Community/Behavioral Health Agency
  • Mesa, AZ
  • NPI 1508124488
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1043804743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029000",
            "telephone_number": "480-831-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 W BASELINE RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029000",
            "telephone_number": "480-831-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARILYN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DNP FNP-BC PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-23",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN156754",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RNP2623646",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP2623646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary King, M.D.
• Kaelyn King
• Kelly King
• Lynda M King, LPC
• Lyndsay King, CPM, LM
• Matthew David King, LPC
• Michael King, PHARMD
• Morgan King, DPT
• Rylee King
• Sarah M King, OT

• Family Nurse Practitioner in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.