Individual provider Active NPI

Mara Scaramella, R.N., FNP-C

  • School Registered Nurse
  • Scottsdale, AZ
National Provider Identifier
1316240377
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
RN053296 Issued in AZ
Practice address
7699 E Pinnacle Peak Rd Ste 115
Scottsdale, AZ 85255-6322
Phone
(480) 300-4663
Fax
(480) 300-4888
NPI assigned
Dec 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X RN053296 AZ Primary

Addresses

Primary practice location

7699 E Pinnacle Peak Rd Ste 115
Scottsdale, AZ 85255-6322

Mailing address

7699 E Pinnacle Peak Rd Ste 115
Scottsdale, AZ 85255-6322
Phone (480) 300-4663

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
I20201118000988 AZ Practitioner - Nurse Practitioner 1850702101 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN053296AZMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medcubed PLLC CurrentSince Oct 29, 2020 Accepting new patients

Locations

7699 E Pinnacle Peak Rd
Scottsdale, AZ 85255

7699 E Pinnacle Peak Rd
Ste 115
Scottsdale, AZ 85255
Phone (480) 300-4663

Interoperability endpoints

  • Direct secure messaging: mara.scaramella.1@8409.direct.athenahealth.com

Organizations & group practices 2

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": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1316240377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7699 E PINNACLE PEAK RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556322",
            "telephone_number": "480-300-4663",
            "fax_number": "480-300-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7699 E PINNACLE PEAK RD STE 115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556322",
            "telephone_number": "480-300-4663",
            "fax_number": "480-300-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARAMELLA",
        "first_name": "MARA",
        "name_prefix": "Ms.",
        "credential": "R.N., FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "AZ",
            "license": "RN053296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.