Individual provider Active NPI

Mary Grace Leon, FNP-BC

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1295978799
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3335 Issued in AZ
Practice address
435 E Glenn St
Tucson, AZ 85705-4664
Phone
(520) 616-1560
Fax
(520) 616-1561
NPI assigned
Apr 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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 AP3335 AZ Primary

Addresses

Primary practice location

435 E Glenn St
Tucson, AZ 85705-4664

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111

Other identifiers 1

IdentifierTypeStateIssuer
426515MedicaidAZ

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
I20100729000399 AZ Practitioner - Nurse Practitioner 8921131855 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brian S Page DO PLLCGroup PAC ID 4880787589, 18 clinicians

Practice addresses (Care Compare)

6560 E Carondelet Dr
Tucson, AZ 85710-2117
Phone (623) 466-6350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3335AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Healthcare Group, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Modern Vascular of Tucson, LLC CurrentSince Jun 28, 2021 Accepting new patients
Brian S Page DO LLC CurrentSince Aug 1, 2025 Accepting new patients
Spectrum Healthcare Group, Inc CurrentSince Oct 17, 2022 Accepting new patients
Spectrum Healthcare Group, Inc. Current Accepting new patients
The Pain Center of Arizona, PC CurrentSince Jan 23, 2023 Accepting new patients
Brian S Page DO LLC CurrentSince Aug 1, 2025 Accepting new patients
Pain Center of Arizona PC CurrentSince Jan 23, 2023 Accepting new patients
Marana Health Center, Inc Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

8 E Cottonwood St
Bldg A
Cottonwood, AZ 86326
Phone (928) 203-5404

8 E Cottonwood St
Cottonwood, AZ 86326
Phone (928) 203-5404

3645 S Rome St
Ste 216
Gilbert, AZ 85297
Phone (480) 478-5512

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

5281 N 99th Ave
Ste 100
Glendale, AZ 85305
Phone (623) 241-6152

4494 W Peoria Ave
Ste 115A
Glendale, AZ 85302
Phone (480) 876-4013

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

6560 E Carondelet Dr
Tucson, AZ 85710
Phone (520) 298-0448

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

2171 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 201-4980

26500 Agoura Rd
Ste 102587
Calabasas, CA 91302
Phone (818) 880-8605

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1295978799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111",
            "fax_number": "520-818-3630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E GLENN ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857054664",
            "telephone_number": "520-616-1560",
            "fax_number": "520-616-1561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-13",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP3335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "426515",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.