Individual provider Active NPI

Maria A. McCleskey, PA-C.

  • Physician Assistant
  • Tempe, AZ
National Provider Identifier
1295949626
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3159 Issued in AZ
Practice address
1437 W Auto Dr
Tempe, AZ 85284-1016
Phone
(602) 362-2983
Fax
(855) 889-8024
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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 3159 AZ Primary

Addresses

Primary practice location

1437 W Auto Dr
Tempe, AZ 85284-1016

Mailing address

3602 E Cat Balue Dr
Phoenix, AZ 85050-6507
Phone (480) 275-4229

Other practice location 1

14780 W Mountain View Blvd
Suite 110
Surprise, AZ 85374-4799
Phone (623) 374-7774

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050301000398 AZ Practitioner - Physician Assistant 9739132895 Reassigns benefits to 2 organizations
I20260521001366 NC Practitioner - Physician Assistant 9739132895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Midwestern University College of Dental Medicine, Downers Grove, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3818 E Cielo Grande Ave
Phoenix, AZ 85050-7333

7465 E Osborn Rd
Scottsdale, AZ 85251-6590

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3159AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Providers & Beyond, PLLC CurrentSince May 4, 2026 Accepting new patients
Emergency Physicians Professional Association LTD Past Accepting new patients
Southwest Oncology & Hematology, PC Past Accepting new patients
Atlas Medical Systems, PLLC PastSince Jun 25, 2023 Accepting new patients
Highland Healthcare LLC Past Accepting new patients
Valley Emergency Physicians Inc Past Accepting new patients

Locations

4311 School House Cmns
Harrisburg, NC 28075
Phone (704) 436-4078

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21825/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1295949626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 E CAT BALUE DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850506507",
            "telephone_number": "480-275-4229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 W AUTO DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841016",
            "telephone_number": "602-362-2983",
            "fax_number": "855-889-8024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14780 W Mountain View Blvd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853744799",
            "country_code": "US",
            "telephone_number": "623-374-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLESKEY",
        "first_name": "MARIA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "PA-C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "3159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.