Individual provider Active NPI

Marisa Rebeka, NP

  • Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1588066013
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP7413 Issued in AZ
Practice address
9250 N 3Rd St Ste 2015
Phoenix, AZ 85020-2404
Phone
(602) 786-0030
Fax
(808) 825-8864
NPI assigned
Sep 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN164040 AZ
Nurse Practitioner 363L00000X AP7413 AZ Primary

Addresses

Primary practice location

9250 N 3Rd St Ste 2015
Phoenix, AZ 85020-2404

Mailing address

8125 N Hayden Rd
Scottsdale, AZ 85258-2463
Phone (480) 587-5054

Other practice location 1

250 E Dunlap Ave
Phoenix, AZ 85020-2825
Phone (602) 943-2381

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EPIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, MT2 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
I20141217000015 AZ Practitioner - Nurse Practitioner 4880917251 Reassigns benefits to 4 organizations
I20241213001838 MT Practitioner - Nurse Practitioner 4880917251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

  • Billings Clinic Hospital Hospital, Billings, MT, CCN 270004
  • Glendive Medical Center Hospital, Glendive, MT, CCN 271332
  • Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006
  • North Big Horn Hospital District Hospital, Lovell, WY, CCN 531309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN164040AZMDRegistered Nurse
AP7413AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Jun 1, 2023 Accepting new patients
District Medical Group, Inc CurrentSince Jun 1, 2023 Accepting new patients
Honorhealth Ambulatory CurrentSince Sep 3, 2019 Accepting new patients
Arizona Gastrointestinal Associates, PLC CurrentSince Aug 9, 2021 Accepting new patients
Billings Clinic Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
Healthy Life Corporation CurrentSince Jan 4, 2023 Accepting new patients
Billings Clinic CurrentSince Dec 2, 2024 Accepting new patients
Honorhealth Ambulatory Current Accepting new patients
Billings Clinic CurrentSince Dec 2, 2024 Accepting new patients
Scottsdale Healthcare Corp CurrentSince Sep 3, 2019 Accepting new patients
Billings Clinic Past Accepting new patients
Arizona Pain and Spine Institute PLLC PastSince Sep 1, 2007 Accepting new patients
District Medical Group, Inc Past Accepting new patients
Desert Mission Inc PastSince Sep 29, 2019 Accepting new patients
Phoenician Hospice LLC PastSince Jul 23, 2018 Accepting new patients
Laser Spine Institute of Arizona, LLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Honorhealth Ambulatory Family PastSince Sep 29, 2019 Accepting new patients

Locations

4540 E Baseline Rd
Ste 115
Mesa, AZ 85206
Phone (480) 306-6405

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

4338 W Thomas Rd
Ste 116
Phoenix, AZ 85031
Phone (623) 385-7900

10240 W Indian School Rd
Ste 155
Phoenix, AZ 85037
Phone (623) 385-7900

2500 W Utopia Rd
Ste 100
Phoenix, AZ 85027
Phone (623) 683-4462

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

19636 N 27th Ave
Ste 408
Phoenix, AZ 85027
Phone (623) 780-0100

9250 N 3rd St
Ste 2015
Phoenix, AZ 85020
Phone (602) 562-3010

250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721

3501 N Scottsdale Rd
Ste 320
Scottsdale, AZ 85251
Phone (480) 424-7228

8761 E Bell Rd
Ste 105
Scottsdale, AZ 85260
Phone (480) 219-6662

10510 N 92nd St
Ste 200
Scottsdale, AZ 85258
Phone (480) 323-1250

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJJDAA

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 12

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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1588066013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8125 N HAYDEN RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582463",
            "telephone_number": "480-587-5054",
            "fax_number": "480-882-5809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 N 3RD ST STE 2015",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850202404",
            "telephone_number": "602-786-0030",
            "fax_number": "808-825-8864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 E Dunlap Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850202825",
            "country_code": "US",
            "telephone_number": "602-943-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REBEKA",
        "first_name": "MARISA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN164040",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "AP7413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EPIC",
            "affiliation": "N",
            "address_1": "9250 N 3rd St Ste 2015",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850202404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.