Individual provider Active NPI

Marina Roloff, MSN, NP-C

  • Family Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1215488499
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9580 Issued in AZ
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

Updated by the provider on Oct 21, 2016

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170224000560 AZ Practitioner - Nurse Practitioner 1254615966 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
AP9580AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Healthcare Services LLC Current Accepting new patients
Desert Healthcare Services LLC CurrentSince Jul 4, 2022 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

Verify at the official NPI Registry.