Mary Elizabeth Massieu, DNP, FNP -C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

226377 Issued in AZ

Practice address

12075 E State Route 69
Dewey, AZ 86327-4517

Phone

(928) 777-9600

Fax

(602) 218-4443

NPI assigned

Feb 10, 2014

Last updated

Oct 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Mary Elizabeth Welsh Former name

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

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carelock LLCGroup PAC ID 9436491172, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ABJGBD

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.

• Carelock, LLC

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1245795459
  Medicare reassignment Care Compare group NPD
• Prescott Healthcare Solutions LLC

  dba Optima Medical

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1821454505
  Medicare reassignment NPD
• Carelock, LLC

  dba Chino Urgent Care

  • Urgent Care Clinic/Center
  • Chino Valley, AZ
  • NPI 1366181703
  NPD
• Carelock, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mayer, AZ
  • NPI 1972170322
  NPD
• South Miami Inpatient Physicians

  • Internal Medicine Physician
  • South Miami, FL
  • NPI 1346313194
  NPD
• Arizona Adult and Pediatric Medicine PC

  • Internal Medicine Physician
  • Prescott, AZ
  • NPI 1225212905
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729296000000",
    "number": "1144644287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14600 S. WATERBURY STREET",
            "address_2": "SUITE A & B",
            "city": "MAYER",
            "state": "AZ",
            "postal_code": "86333",
            "telephone_number": "928-271-5490",
            "fax_number": "866-205-4076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12075 E STATE ROUTE 69",
            "city": "DEWEY",
            "state": "AZ",
            "postal_code": "863274517",
            "telephone_number": "928-777-9600",
            "fax_number": "602-218-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIEU",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "DNP, FNP -C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-10",
        "last_updated": "2024-10-19",
        "certification_date": "2024-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP2936392",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "226377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "WELSH",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Virginia Mary Lawrence, PH.D.
• Legacy Hospice Care LLC
• Huimin Liu III, LICENSE ACUPUNCTUER
• Living Kinetics LLC
• Jessica Dean Marks
• Michael O. Baird D.D.S., P.C. (Our Family Dentist-Dewey)
• Mingus Mountain Estate Residential Center Inc
• Mobile Healthcare Solutions, LLC
• Monreal Family Services, LLC
• Monreal Family Services, LLC

• Family Nurse Practitioner in Dewey, AZ
• Providers in Dewey, 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 Oct 19, 2024; 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.