Individual provider Active NPI

Marie McCormick, ANP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1376517631
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
299013 Issued in AZ
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

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080630000111 CT Practitioner - Nurse Practitioner 5991877466 Reassigns benefits to 1 organization
I20240419001767 AZ Practitioner - Nurse Practitioner 5991877466 Reassigns benefits to 1 organization

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 100Reported as group
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

LicenseStateTypeSpecialty
1845CTMDMarriage & Family Therapist
001845CTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Arizona, LLC CurrentSince May 4, 2024 Accepting new patients
Privia Medical Group Arizona, LLC CurrentSince May 4, 2024 Accepting new patients
Northeast Medical Group, Inc. Nurse Practitioner CurrentSince Apr 2, 2011 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.