Individual provider Active NPI

Janet Marie Marinelli, PA-C

  • Physician Assistant
  • Lake Havasu City, AZ
National Provider Identifier
1093938128
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3604 Issued in AZ
Practice address
40 Capri Blvd Ste 102
Lake Havasu City, AZ 86403-5661
Phone
(602) 955-1000
Fax
(602) 508-4830
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 3604 AZ
Physician Assistant 363A00000X 3604 AZ Primary
Medical Physician Assistant 363AM0700X 3604 AZ

Addresses

Primary practice location

40 Capri Blvd Ste 102
Lake Havasu City, AZ 86403-5661

Mailing address

4800 N 22ND St Ste 210
Phoenix, AZ 85016-4963
Phone (602) 955-1000

Other identifiers 2

IdentifierTypeStateIssuer
3604OtherAZLICENSE
378599MedicaidAZ

Other names 1

  • Janet Marie Ioga Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070517000575 AZ Practitioner - Physician Assistant 9133226657 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barnet Dulaney Perkins Eye Center, PCGroup PAC ID 0749288298, 104 clinicians

Practice addresses (Care Compare)

1151 S la Canada Dr
Suite 200
Green Valley, AZ 85614-1943
Phone (520) 625-8562

40 Capri Blvd
Suite 102
Lake Havasu City, AZ 86403-5661
Phone (928) 855-9477

4800 N 22ND St
Suite 120
Phoenix, AZ 85016-4962
Phone (602) 955-1000

698 E Wetmore Rd
Suite 100
Tucson, AZ 85705-1752
Phone (520) 955-1000

825 S 20TH Ave
Safford, AZ 85546-3317
Phone (928) 428-6930

Merit-based Incentive Payment System (MIPS)

Final score
83.86 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
64.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center LTD CurrentSince May 1, 2023 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince May 1, 2023 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Southwestern Eye Center, LTD CurrentSince May 1, 2023 Accepting new patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince May 1, 2023 Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients
Laser Spine Institute, LLC Past Accepting new patients

Locations (25 of 45)

2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172

13075 W McDowell Rd
Ste D106
Avondale, AZ 85392
Phone (623) 547-0522

3003 Highway 95
Ste 63
Bullhead City, AZ 86442
Phone (928) 763-7555

1683 E Florence Blvd
Ste 7
Casa Grande, AZ 85122
Phone (520) 876-0800

600 S Dobson Rd
Ste C26
Chandler, AZ 85224
Phone (480) 814-1560

450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574

270 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-4202

1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844

18589 N 59th Ave
Ste 101
Glendale, AZ 85308
Phone (602) 547-2600

9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

1810 Mesquite Ave
Ste B
Lk Havasu Cty, AZ 86403
Phone (928) 453-4600

535 E McKellips Rd
Ste 101
Mesa, AZ 85203
Phone (480) 636-7855

4760 E Falcon Dr
Ste 101
Mesa, AZ 85215
Phone (480) 985-7400

1066 N Power Rd
Ste 101
Mesa, AZ 85205
Phone (480) 807-0130

20470 N Lake Pleasant Rd
Ste 102
Peoria, AZ 85382
Phone (623) 825-4600

20950 N Tatum Blvd
Ste 190
Phoenix, AZ 85050
Phone (480) 476-0021

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

5920 W McDowell Rd
Phoenix, AZ 85035
Phone (480) 455-2235

1701 E Thomas Rd
Ste A104
Phoenix, AZ 85016
Phone (602) 845-4445

4800 N 22nd St
Ste 210
Phoenix, AZ 85016
Phone (602) 598-7488

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

3229 E Greenway Rd
Ste 102
Phoenix, AZ 85032
Phone (602) 788-3285

4730 E Indian School Rd
Ste 211
Phoenix, AZ 85018
Phone (602) 354-3491

Interoperability endpoints

  • Direct secure messaging: janet.marinelli.d1.p11@direct.avp.nextgenshare.com

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1093938128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N 22ND ST STE 210",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164963",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 CAPRI BLVD STE 102",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035661",
            "telephone_number": "602-955-1000",
            "fax_number": "602-508-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARINELLI",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "3604",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3604",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "3604",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378599",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "IOGA",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Havasu City, AZ

Sources for this page

Verify at the official NPI Registry.