Individual provider Active NPI

Wendy Lea Markovich, NP

  • Family Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1255304184
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP2787 Issued in AZ
Practice address
222 S Mill Ave
Tempe, AZ 85281-2889
Phone
(602) 345-0647
NPI assigned
Feb 10, 2006
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AZ2787 AZ
Family Nurse Practitioner 363LF0000X 003315 CT
Family Nurse Practitioner 363LF0000X AP2787 AZ Primary
Registered Nurse 163W00000X RN146859 AZ
Registered Nurse 163W00000X 072310 CT

Addresses

Primary practice location

222 S Mill Ave
Tempe, AZ 85281-2889

Mailing address

8414 E. Shea Boulevard
Suite 103
Scottsdale, AZ 85260
Phone (480) 917-7800

Other identifiers 1

IdentifierTypeStateIssuer
259932OtherAZAHCCCS

Other names 1

  • Mrs. Wendy Lea Longchamps Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Oct 1, 2016 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003315CTMDClinical Social Worker
072310CTMDRegistered Nurse
AZ2787AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncall Pain LLC Current Accepting new patients
Pain Resources Current Accepting new patients
On Call LLC Family CurrentSince Jan 1, 2025 Accepting new patients
NP Care, LLC Past Accepting new patients
NP Care, LLC Past Accepting new patients
United Advanced Specialty Centers PLLC PastSince Feb 23, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1255304184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8414 E. SHEA BOULEVARD",
            "address_2": "SUITE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85260",
            "telephone_number": "480-917-7800",
            "fax_number": "480-917-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S MILL AVE",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852812889",
            "telephone_number": "602-345-0647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKOVICH",
        "first_name": "WENDY",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-10",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AZ2787",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "003315",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP2787",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN146859",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "072310",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "259932",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "LONGCHAMPS",
            "middle_name": "LEA",
            "prefix": "MRS.",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.