Individual provider Active NPI

Marie Ekren, FNP-C

  • Family Nurse Practitioner
  • Queen Creek, AZ
National Provider Identifier
1417415183
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP246860 Issued in AZ
Practice address
21139 S 187TH Way
Queen Creek, AZ 85142-3584
Phone
(602) 345-0348
Fax
(602) 848-8890
NPI assigned
Mar 12, 2019
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN138316 AZ
Family Nurse Practitioner 363LF0000X RNP246860 AZ Primary

Addresses

Primary practice location

21139 S 187TH Way
Queen Creek, AZ 85142-3584

Mailing address

42068 N Rattlesnake Rd
San Tan Valley, AZ 85140-8858
Phone (602) 345-0348

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
I20210601001940 AZ Practitioner - Nurse Practitioner 7214336841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
We Care Mobile Health PLLCGroup PAC ID 1658730221, 8 clinicians

Practice addresses (Care Compare)

21139 S 187TH Way
Queen Creek, AZ 85142-3584
Phone (602) 345-0348

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RNP246860AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
W.E. Care Mobile Health PLLC Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Lifeline Hospitalist Associates LLC CurrentSince Sep 1, 2023 Accepting new patients
Copper State Healthcare PLLC Nurse Practitioner CurrentSince May 7, 2024 Accepting new patients

Locations

255 W Brown Rd
Mesa, AZ 85201
Phone (480) 833-3988

3707 E Southern Ave
Mesa, AZ 85206
Phone (480) 509-7738

4022 E Presidio St
Mesa, AZ 85215
Phone (480) 296-7642

85 W Combs Rd
Ste 101127
San Tan Valley, AZ 85140

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1417415183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42068 N RATTLESNAKE RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851408858",
            "telephone_number": "602-345-0348",
            "fax_number": "602-848-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21139 S 187TH WAY",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851423584",
            "telephone_number": "602-345-0348",
            "fax_number": "602-848-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKREN",
        "first_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RN138316",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP246860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Queen Creek, AZ

Sources for this page

Verify at the official NPI Registry.