Individual provider Active NPI

Mary Jo Stucky-Heil, APRN

  • Adult Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1447271564
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP2518 Issued in AZ
Practice address
6116 E Arbor Ave
Suite 112
Mesa, AZ 85206-6107
Phone
(480) 641-5400
Fax
(480) 218-4353
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN096578 AZ
Adult Health Nurse Practitioner 363LA2200X AP2518 AZ Primary

Addresses

Primary practice location

6116 E Arbor Ave
Suite 112
Mesa, AZ 85206-6107

Mailing address

6116 E Arbor Ave Ste 112
Mesa, AZ 85206-6103
Phone (480) 641-5400

Other identifiers 1

IdentifierTypeStateIssuer
136797MedicaidAZ

Other names 1

  • Mary Jo Senta Former 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
I20061115000211 AZ Practitioner - Nurse Practitioner 3173521705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6116 E Arbor Ave
Suite 112
Mesa, AZ 85206-6103
Phone (480) 641-5400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates of Mesa PC CurrentSince Aug 8, 2011 Accepting new patients
Cardiovascular Associates of Mesa P C CurrentSince Aug 8, 2011 Accepting new patients

Locations

2979 W Elliot Rd
Ste 112
Chandler, AZ 85224

2730 S Val Vista Dr
Ste 140
Gilbert, AZ 85295
Phone (480) 277-0043

3367 S Mercy Rd
Ste 201
Gilbert, AZ 85297
Phone (480) 526-7544

3513 S Mercy Rd
Gilbert, AZ 85297
Phone (420) 641-5400

6116 E Arbor Ave
Ste 112
Mesa, AZ 85206

6309 E Baywood Ave
Ste 101
Mesa, AZ 85206
Phone 48064154004010

4838 E Baseline Rd
Ste 108
Mesa, AZ 85206
Phone (480) 981-2400

37200 N Gantzel Rd
Ste 350
Queen Creek, AZ 85140

37100 N Gantzel Rd
Ste 202
San Tan Valley, AZ 85140
Phone (480) 394-4469

Organizations & group practices 2

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": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1447271564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE STE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066103",
            "telephone_number": "480-641-5400",
            "fax_number": "480-218-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 E ARBOR AVE",
            "address_2": "SUITE 112",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066107",
            "telephone_number": "480-641-5400",
            "fax_number": "480-218-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKY-HEIL",
        "first_name": "MARY JO",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "RN096578",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP2518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136797",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY JO",
            "last_name": "SENTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.