Marceline E Ndum

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

224902 Issued in AZ

Practice address

1036 N Arizona Ave
Chandler, AZ 85225-6600

Phone

(480) 618-0027

Fax

(520) 300-8059

NPI assigned

May 3, 2019

Last updated

Nov 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Street Health Physicians Group of Arizona PLLC

  • Primary Care Clinic/Center
  • Apache Junction, AZ
  • NPI 1063083590

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Pophealthcare Medical Services of Az, PC

  • Nurse Practitioner
  • Tempe, AZ
  • NPI 1760884175

  Single Specialty

  Medicare reassignment NPD
• Pophealthcare Medical Services of Az, PC

  • Family Nurse Practitioner
  • Tempe, AZ
  • NPI 1417652454
  NPD
• Piller Child Development LLC

  • Pediatric Occupational Therapist
  • Phoenix, AZ
  • NPI 1497087621
  NPD (past)

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1366007411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746093",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746093",
            "telephone_number": "312-733-9730",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 N ARIZONA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852256600",
            "telephone_number": "480-618-0027",
            "fax_number": "520-300-8059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10631 S. 51st Street, Suite 1",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850445225",
            "country_code": "US",
            "telephone_number": "480-298-9951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NDUM",
        "first_name": "MARCELINE",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "224902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyzbeth Navarro Robles
• Fernanda Navarro
• Tomas Navarro III, M.D.
• Atika Nayeem, M.D.
• William Naylor, DO
• Erica Marie Neal, PA-C
• Lester Neal
• Matthew Neeley
• Hailey Neff, PA-C
• Lucas Neff, PA

• Family Medicine Physician in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.

Verify at the official NPI Registry.