Individual provider Active NPI

Courtney Nicole Marsh, PA-C

  • Physician Assistant
  • Mesa, AZ
National Provider Identifier
1295494250
Registry record updated Dec 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8649 Issued in AZ
Practice address
1450 S Dobson Rd Ste A200
Mesa, AZ 85202-4742
Phone
(480) 629-5167
Fax
(480) 969-0630
NPI assigned
Dec 16, 2021
Last updated
Dec 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 8649 AZ Primary

Addresses

Primary practice location

1450 S Dobson Rd Ste A200
Mesa, AZ 85202-4742

Mailing address

19777 N 76TH St Apt 2144
Scottsdale, AZ 85255-4569
Phone (480) 766-1097

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
I20220117000364 AZ Practitioner - Physician Assistant 9739571167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honorhealth AmbulatoryGroup PAC ID 5991603110, 630 clinicians
Arizona Advanced Surgery LLCGroup PAC ID 0547690166, 93 clinicians

Practice addresses (Care Compare)

10510 N 92ND St
Scottsdale, AZ 85258-4566

2320 N 3Rd St
Phoenix, AZ 85004-1303
Phone (602) 340-0201

7400 E Osborn Rd
Scottsdale, AZ 85251-6432
Phone (480) 882-6700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Honorhealth Ambulatory CurrentSince Jul 8, 2024 Accepting new patients
Honorhealth Ambulatory CurrentSince Jul 8, 2024 Accepting new patients
Honorhealth Ambulatory Past Accepting new patients

Locations

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

7351 E Osborn Rd
Ste 200B
Scottsdale, AZ 85251
Phone (480) 320-1350

Interoperability endpoints

  • Direct secure messaging: cmarsh133077@direct.honorhealth.com

Organizations & group practices 5

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": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640390400000",
    "number": "1295494250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19777 N 76TH ST APT 2144",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852554569",
            "telephone_number": "480-766-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S DOBSON RD STE A200",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024742",
            "telephone_number": "480-629-5167",
            "fax_number": "480-969-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-25",
        "certification_date": "2021-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "8649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.