Active NPI
Marina Roloff, MSN, NP-C
- Family Nurse Practitioner
- Yuma, AZ
National Provider Identifier
1215488499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP9580
- Practice address
- 3970 W 24TH St Ste 214
Yuma, AZ 85364-9263 - Phone
- (928) 341-0058
- NPI assigned
- Oct 21, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP9580 | AZ | Primary |
Addresses
Primary practice location
3970 W 24TH St Ste 214
Yuma, AZ 85364-9263
Mailing address
340 W 32ND St # 378
Yuma, AZ 85364-8128
Phone (928) 341-0058
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP9580 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Healthcare Services LLC | Current | Accepting new patients | |
| Desert Healthcare Services LLC | Current | Accepting new patients |
Locations
284 W 32nd St
Yuma, AZ 85364
Phone (928) 341-4563
Organizations & group practices 2
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": "1477008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477008000000",
"number": "1215488499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 W 32ND ST # 378",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648128",
"telephone_number": "928-341-0058",
"fax_number": "928-341-0138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3970 W 24TH ST STE 214",
"city": "YUMA",
"state": "AZ",
"postal_code": "853649263",
"telephone_number": "928-341-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLOFF",
"first_name": "MARINA",
"credential": "MSN, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-21",
"last_updated": "2016-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP9580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.