Individual provider Active NPI

Mariel Katharine McDonald, PA-C

  • Medical Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1326440629
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5826 Issued in AZ
Practice address
3499 S Mercy Rd
Gilbert, AZ 85297-0437
Phone
(480) 355-8525
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5826 AZ Primary

Addresses

Primary practice location

3499 S Mercy Rd
Gilbert, AZ 85297-0437

Mailing address

3499 S Mercy Rd
Gilbert, AZ 85297-0437
Phone (480) 355-8525

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
I20151125002051 AZ Practitioner - Physician Assistant 4385944206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morning Star Obstetrics and Gynecology PCGroup PAC ID 0648207043, 4 clinicians

Practice addresses (Care Compare)

3499 S Mercy Rd
Gilbert, AZ 85297-0437
Phone (480) 355-8525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5826AZMDChiropractor

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EIIAAA/Endpoint/EIIAAA

Organizations & group practices 1

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": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447718400000",
    "number": "1326440629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3499 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970437",
            "telephone_number": "480-355-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3499 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970437",
            "telephone_number": "480-355-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "MARIEL",
        "middle_name": "KATHARINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2015-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "5826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.