Active NPI
Marie McCormick, ANP
- Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 299013
- Practice address
- 3815 E Bell Rd Ste 3200
Phoenix, AZ 85032-2162 - Phone
- (623) 433-0202
- Fax
- (623) 433-0204
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 299013 | AZ | Primary |
Addresses
Primary practice location
3815 E Bell Rd Ste 3200
Phoenix, AZ 85032-2162
Mailing address
3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171
Phone (602) 633-3848
Other practice location 1
16928 W Bell Rd Ste 702
Surprise, AZ 85374-8948
Phone (623) 433-0202
Other practice location 2
6036 N 19th Ave Ste 510
Phoenix, AZ 85015-2143
Phone (602) 973-1113
Other practice location 3
3540 E Baseline Rd Ste 131
Phoenix, AZ 85042-9629
Phone (623) 433-0202
Other practice location 4
10815 W McDowell Rd Ste 202
Avondale, AZ 85392-5010
Phone (623) 433-0202
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3815 E Bell Rd
Suite 3200
Phoenix, AZ 85032-2162
Phone (623) 882-1292
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.16 of 100
- Quality
- 70.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 80.38
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1845 | CT | MD | Marriage & Family Therapist |
| 001845 | CT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group Arizona, LLC | Current | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Current | Accepting new patients | |
| Northeast Medical Group, Inc. | Nurse Practitioner | Current | Accepting new patients |
| Cardiac Specialists, P.C. | Past | Accepting new patients | |
| Privia Medical Group Arizona, LLC | Past | Accepting new patients |
Locations
10815 W McDowell Rd
Ste 202
Avondale, AZ 85392
10815 W McDowell Rd
Ste 20220
Avondale, AZ 85392
14415 W McDowell Rd
Ste D102
Goodyear, AZ 85395
Phone (623) 512-4190
3815 E Bell Rd
Ste 4500
Phoenix, AZ 85032
Phone (602) 633-3838
1301 S 7th Ave
Ste 400
Phoenix, AZ 85007
Phone (602) 824-3358
3815 E Bell Rd
Ste 2200
Phoenix, AZ 85032
Phone (602) 931-4689
3815 E Bell Rd
Ste 3200
Phoenix, AZ 85032
Phone (480) 840-1754
3540 E Baseline Rd
Ste 131
Phoenix, AZ 85042
Phone (480) 634-1232
6036 N 19th Ave
Ste 510
Phoenix, AZ 85015
Phone (602) 246-3223
16928 W Bell Rd
Ste 702
Surprise, AZ 85374
226 Mill Hill Ave
Ste 3
Bridgeport, CT 06610
Phone (203) 384-3394
1305 Post Rd
Fairfield, CT 06824
Phone (203) 255-3441
1305 Post Rd
Lowr
Fairfield, CT 06824
Phone (203) 292-2000
831 Boston Post Rd
Ste 103
Milford, CT 06460
Phone (203) 283-5200
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
Interoperability endpoints
- marie.mccormick.2@33227.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
-
- Internal Medicine Physician
- Bridgeport, CT
- NPI 1043278351
Nurse Practitioner
-
- Neurology Physician
- Phoenix, AZ
- NPI 1245876705
-
- Family Medicine Physician
- Payson, AZ
- NPI 1740459700
-
- Specialist
- Fairfield, CT
- NPI 1063417095
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1982733655
-
- General Acute Care Hospital
- Glendale, AZ
- NPI 1992131734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722816000000",
"number": "1376517631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3815 E BELL RD STE 4500",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322171",
"telephone_number": "602-633-3848",
"fax_number": "602-633-3841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 E BELL RD STE 3200",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850322162",
"telephone_number": "623-433-0202",
"fax_number": "623-433-0204"
}
],
"practiceLocations": [
{
"address_1": "16928 W Bell Rd Ste 702",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853748948",
"country_code": "US",
"telephone_number": "623-433-0202",
"fax_number": "623-433-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6036 N 19th Ave Ste 510",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850152143",
"country_code": "US",
"telephone_number": "602-973-1113",
"fax_number": "602-973-1116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3540 E Baseline Rd Ste 131",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850429629",
"country_code": "US",
"telephone_number": "623-433-0202",
"fax_number": "623-433-0204",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10815 W McDowell Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Avondale",
"state": "AZ",
"postal_code": "853925010",
"country_code": "US",
"telephone_number": "623-433-0202",
"fax_number": "623-433-0204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCORMICK",
"first_name": "MARIE",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2024-08-05",
"certification_date": "2024-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "299013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.