Individual provider Active NPI

Marketta Toliver, DNP, APRN, FNP-C

  • Family Nurse Practitioner
  • Goodyear, AZ
National Provider Identifier
1134651276
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
296931 Issued in AZ
Practice address
13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713
Phone
(480) 964-2273
Fax
(623) 213-8808
NPI assigned
Mar 29, 2017
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A005111 AR
Family Nurse Practitioner 363LF0000X 296931 AZ Primary

Addresses

Primary practice location

13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713

Mailing address

3033 N Central Ave Ste 145
Phoenix, AZ 85012-2808
Phone (480) 964-2273

Other practice location 1

9610 N Metro Pkwy W
Phoenix, AZ 85051-1402
Phone (480) 964-2273

Other identifiers 1

IdentifierTypeStateIssuer
212467MedicaidAZ

Other names 1

  • Dr. Marketta Roberts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170512001780 AR Practitioner - Nurse Practitioner 7416234810 Reassigns benefits to 6 organizations
I20240206004542 AZ Practitioner - Nurse Practitioner 7416234810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adelante Healthcare, IncGroup PAC ID 4688588643, 132 clinicians

Practice addresses (Care Compare)

15317 W Bell Rd
Suite 100
Surprise, AZ 85374-3900
Phone (877) 809-5092

1705 W Main St
Mesa, AZ 85201-6920
Phone (877) 809-5092

402 W Main St
Cabot, AR 72023-2900
Phone (501) 628-9215

9610 N Metro Pkwy W
Phoenix, AZ 85051-1402
Phone (877) 809-5092

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
296931AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Conway Regional Medical Center Inc CurrentSince Aug 1, 2017 Accepting new patients
Faulkner Emergency Group, PLLC Nurse Practitioner CurrentSince May 22, 2019 Accepting new patients
Adelante Healthcare, Inc. Current Accepting new patients
St. Vincent Infirmary Medical Center CurrentSince Dec 15, 2018 Accepting new patients
Shiloh Emergency Group PLLC Nurse Practitioner CurrentSince Jun 20, 2020 Accepting new patients
Adelante Healthcare, Inc CurrentSince Nov 13, 2023 Accepting new patients
St. Vincent Infirmary Medical Center Current Accepting new patients
Conway Regional Medical Center Inc CurrentSince Aug 1, 2017 Accepting new patients
Forrest City Emergency Physicians PLLC Nurse Practitioner CurrentSince Jun 13, 2017 Accepting new patients
St Vincent Infirmary Medical Center CurrentSince Dec 15, 2018 Accepting new patients
Forrest City Emergency Physicians, PLLC Nurse Practitioner CurrentSince Jun 13, 2017 Accepting new patients
Adelante Healthcare, Inc. CurrentSince Nov 13, 2023 Accepting new patients
Morris Anesthesia Group, PA PastSince Mar 20, 2022 Accepting new patients
Morris Anesthesia Group, PA Past Accepting new patients

Locations

2302 College Ave
Conway, AR 72034
Phone (501) 329-3831

1601 New Castle Rd
Forrest City, AR 72335
Phone (870) 261-0000

300 Werner St
Hot Springs National Park, AR 71913
Phone (501) 622-1000

10100 Kanis Rd
Little Rock, AR 72205
Phone (501) 255-6000

2 Saint Vincent Cir
Little Rock, AR 72205
Phone (501) 552-2680

2215 Wildwood Ave
Sherwood, AR 72120
Phone (501) 522-7100

306 E Monroe Ave
Buckeye, AZ 85326
Phone (623) 386-4814

13471 W Cornerstone Blvd
Goodyear, AZ 85395
Phone (844) 551-6691

1705 W Main St
Mesa, AZ 85201
Phone (480) 845-6769

15525 N 83rd Ave
Ste 104
Peoria, AZ 85382

3033 N Central Ave
Ste 145
Phoenix, AZ 85012

500 W Thomas Rd
Ste 870
Phoenix, AZ 85013
Phone (602) 263-0222

9610 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 618-0002

15317 W Bell Rd
Ste 100
Surprise, AZ 85374

15317 W Bell Rd
Ste 106
Surprise, AZ 85374
Phone (623) 544-5190

15351 W Bell Rd
Surprise, AZ 85374

811 N Tegner St
Ste 113
Wickenburg, AZ 85390

Organizations & group practices 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1134651276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 N CENTRAL AVE STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122808",
            "telephone_number": "480-964-2273",
            "fax_number": "623-974-6721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13471 W CORNERSTONE BLVD",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952713",
            "telephone_number": "480-964-2273",
            "fax_number": "623-213-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9610 N Metro Pkwy W",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850511402",
            "country_code": "US",
            "telephone_number": "480-964-2273",
            "fax_number": "602-843-1560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLIVER",
        "first_name": "MARKETTA",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-29",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A005111",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "296931",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "212467",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARKETTA",
            "last_name": "ROBERTS",
            "prefix": "DR.",
            "credential": "DNP, APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.