Jadeh W Marselis-Moore, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP4818 Issued in AZ

Practice address

6560 E Carondelet Dr BLDG G
Tucson, AZ 85710-2117

Phone

(520) 318-5774

Fax

(520) 777-3568

NPI assigned

Apr 2, 2013

Sex

Male

Sole proprietor

No

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nextcare Arizona I JV LLCGroup PAC ID 7416393194, 297 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmoore@pimapaincenter.gwaydirect.com
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jadeh.marselismoorefnp.p1@direct.nextcare.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/AJJDAA

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.

• Nextcare Arizona I JV LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1114798071
  Medicare reassignment Care Compare group NPD
• Angels Valley Community Healthcare Center PLLC

  • Physician Assistant
  • Phoenix, AZ
  • NPI 1689303117
  Medicare reassignment NPD
• Brian S Page DO LLC

  • Pain Medicine Physician
  • Glendale, AZ
  • NPI 1821282666
  Medicare reassignment NPD
• Emil H Annabi MD PC

  • Anesthesiology Physician
  • Tucson, AZ
  • NPI 1245635390
  Medicare reassignment NPD
• Nextcare Arizona LLC

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1043371826
  Medicare reassignment NPD
• Brian S Page DO LLC

  • Durable Medical Equipment & Medical Supplies
  • Mesa, AZ
  • NPI 1205645447
  NPD
• Arizona Pain and Spine Institute PLLC

  • Interventional Pain Medicine Physician
  • Mesa, AZ
  • NPI 1316147242
  NPD (past)
• Brian S Page DO LLC

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1245891811
  NPD (past)
• Emil H Annabi MD PC

  • Anesthesiology Physician
  • Tucson, AZ
  • NPI 1750146130
  NPD (past)
• Emil H Annabi MD PC

  • Anesthesiology Physician
  • Tucson, AZ
  • NPI 1902661390
  NPD (past)
• Next Level Facility LLC

  • Interventional Pain Medicine Physician
  • Phoenix, AZ
  • NPI 1558135756
  NPD (past)
• Nextcare Urgent Care

  • Urgent Care Clinic/Center
  • Tempe, AZ
  • NPI 1831647122
  NPD (past)

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1407199045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 E CARONDELET DR BLDG G",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-318-5774",
            "fax_number": "520-777-3568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 E CARONDELET DR BLDG G",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102117",
            "telephone_number": "520-318-5774",
            "fax_number": "520-777-3568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSELIS-MOORE",
        "first_name": "JADEH",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-02",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP4818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Marrow
• Elise Marrs, RDN
• Sarah Nicole Marrujo
• Patricia Navarrette Mars, M.D.
• Jean Marsalla, ANP
• Marsh Family Medicine, PLLC.
• Ariella Marsh
• Christopher L Marsh, D.O.
• Cynthia Marsh
• Kenneth F Marsh, PH. D.

• Nurse Practitioner in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.