Individual provider Active NPI

Marybeth Barcome, FNP

  • Family Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1144743071
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10147 Issued in AZ
Practice address
4566 E Inverness Ave Ste 205
Mesa, AZ 85206-4634
Phone
(480) 573-0130
Fax
(480) 573-0131
NPI assigned
Jul 23, 2017
Last updated
Apr 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10147 AZ Primary

Addresses

Primary practice location

4566 E Inverness Ave Ste 205
Mesa, AZ 85206-4634

Mailing address

2525 W Greenway Rd Ste 125
Phoenix, AZ 85023-4226
Phone (480) 573-0130

Other practice location 1

2563 S Val Vista Dr Ste 101A
Gilbert, AZ 85295-6231
Phone (480) 573-0130

Other practice location 2

15571 N Reems Rd Bldg D
Surprise, AZ 85374-9584
Phone (480) 573-0130

Other practice location 3

2525 W Greenway Rd Ste 125
Phoenix, AZ 85023-4226
Phone (480) 573-0130

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
I20170912002101 AZ Practitioner - Nurse Practitioner 6507139680 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advanced Spine and Pain LLCGroup PAC ID 0941610075, 30 clinicians

Practice addresses (Care Compare)

126 E Main St
Suite D
Payson, AZ 85541-5488
Phone (928) 596-4800

15571 N Reems Rd
BLDG D
Surprise, AZ 85374-9584
Phone (480) 573-0130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
76.35
Promoting interoperability
99
Improvement activities
40
Cost
71.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10147AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Specialists Arizona LLC CurrentSince Dec 27, 2023 Accepting new patients
Advanced Spine and Pain LLC CurrentSince Feb 1, 2023 Accepting new patients
Banner Physician Specialists Arizona LLC CurrentSince Dec 27, 2023 Accepting new patients
Advanced Spine and Pain LLC CurrentSince Feb 1, 2023 Accepting new patients
Advanced Technology Chiropractic LLC PastSince Jan 1, 2021 Accepting new patients

Locations

2563 S Val Vista Dr
Ste 101A
Gilbert, AZ 85295
Phone (480) 985-9005

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

4566 E Inverness Ave
Ste 205
Mesa, AZ 85206
Phone (480) 640-0513

120 E Main St
Ste A
Payson, AZ 85541
Phone (928) 474-9744

126 E Main St
Ste D
Payson, AZ 85541
Phone (928) 472-5260

13128 N 94th Dr
Ste 100
Peoria, AZ 85381
Phone (623) 259-5900

2525 W Greenway Rd
Ste 125
Phoenix, AZ 85023
Phone (480) 640-0513

2525 W Greenway Rd
Ste 230
Phoenix, AZ 85023
Phone (480) 573-0886

7201 N Dreamy Draw Dr
Phoenix, AZ 85020

2820 N Glassford Hill Rd
Prescott Vly, AZ 86314
Phone (928) 771-9000

15571 N Reems Rd
Bldg D
Surprise, AZ 85374
Phone (623) 887-9454

Interoperability endpoints

  • Direct secure messaging: marybethbarcome@asapl-az.direct.office.nextgen.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1144743071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 W GREENWAY RD STE 125",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850234226",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 E INVERNESS AVE STE 205",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064634",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2563 S Val Vista Dr Ste 101A",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852956231",
            "country_code": "US",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15571 N Reems Rd Bldg D",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853749584",
            "country_code": "US",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 W Greenway Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850234226",
            "country_code": "US",
            "telephone_number": "480-573-0130",
            "fax_number": "480-573-0131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARCOME",
        "first_name": "MARYBETH",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP10147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.