Individual provider Active NPI

Marcelle Ruth Hanish, NP

  • Family Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1407062334
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9001 Issued in AZ
Practice address
8149 N 87TH PL Ste 134
Scottsdale, AZ 85258-4399
Phone
(602) 881-8189
Fax
(480) 315-6528
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9001 AZ Primary

Addresses

Primary practice location

8149 N 87TH PL Ste 134
Scottsdale, AZ 85258-4399

Mailing address

9736 N 95TH St Unit 126
Scottsdale, AZ 85258-9175
Phone (602) 881-8189

Other names 1

  • Marcelle R Hanish Professional name

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
I20170502001862 AZ Practitioner - Nurse Practitioner 0749567659 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Da Vinci Health Services, LLC CurrentSince Jul 8, 2021 Accepting new patients
Happy Home Care CurrentSince Dec 14, 2025 Accepting new patients
Native American Connections, Inc. PastSince Nov 12, 2023 Accepting new patients

Locations

4705 E Carefree Hwy
Ste 106
Cave Creek, AZ 85331
Phone (480) 575-1142

4222 N 12th St
Ste 102
Phoenix, AZ 85014
Phone (602) 265-4357

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIBEAA/Endpoint/FIBEAA
  • FHIR API: https://api.platform.athenahealth.com/15208/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1407062334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9736 N 95TH ST UNIT 126",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852589175",
            "telephone_number": "602-881-8189",
            "fax_number": "480-315-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8149 N 87TH PL STE 134",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584399",
            "telephone_number": "602-881-8189",
            "fax_number": "480-315-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANISH",
        "first_name": "MARCELLE",
        "middle_name": "RUTH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCELLE",
            "last_name": "HANISH",
            "middle_name": "R",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.