Active NPI
Mary Grace Leon, FNP-BC
- Family Nurse Practitioner
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3335
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 426515 | Medicaid | AZ |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP3335 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Healthcare Group, Inc. | Current | Accepting new patients | |
| Modern Vascular of Tucson, LLC | Current | Accepting new patients | |
| Brian S Page DO LLC | Current | Accepting new patients | |
| Spectrum Healthcare Group, Inc | Current | Accepting new patients | |
| Spectrum Healthcare Group, Inc. | Current | Accepting new patients | |
| The Pain Center of Arizona, PC | Current | Accepting new patients | |
| Brian S Page DO LLC | Current | Accepting new patients | |
| Pain Center of Arizona PC | Current | 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.
-
- Pain Medicine Physician
- Glendale, AZ
- NPI 1821282666
-
- Vascular & Interventional Radiology Physician
- Tucson, AZ
- NPI 1255896544
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cottonwood, AZ
- NPI 1487635389
-
- Durable Medical Equipment & Medical Supplies
- Mesa, AZ
- NPI 1205645447
-
- Interventional Pain Medicine Physician
- Peoria, AZ
- NPI 1871650739
-
- Multi-Specialty Clinic/Center
- Phoenix, AZ
- NPI 1912614413
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cottonwood, AZ
- NPI 1790382455
-
- Clinical Medical Laboratory
- Phoenix, AZ
- NPI 1154780237
-
- Clinic Pharmacy
- Tucson, AZ
- NPI 1073072450
-
- Urgent Care Clinic/Center
- Phoenix, AZ
- NPI 1376981092
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1477818730
-
- Urgent Care Clinic/Center
- Tucson, AZ
- NPI 1710239082
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.