Individual provider Active NPI

Mary T Fisher Pinson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1598790230
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP1335 Issued in AZ
Practice address
6619 N Scottsdale Rd Ste 9
Scottsdale, AZ 85250-4421
Phone
(480) 534-8662
Fax
(480) 935-0513
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN070132 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP1335 AZ Primary

Addresses

Primary practice location

6619 N Scottsdale Rd Ste 9
Scottsdale, AZ 85250-4421

Mailing address

6619 N Scottsdale Rd Ste 9
Scottsdale, AZ 85250-4421
Phone (480) 534-8662

Other identifiers 1

IdentifierTypeStateIssuer
578685MedicaidAZ

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
I20051201000704 AZ Practitioner - Nurse Practitioner 8527088855 Reassigns benefits to 1 organization
Practice locations: Scottsdale, AZ

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6619 N Scottsdale Rd
Suite 9
Scottsdale, AZ 85250-4421
Phone (480) 534-8662

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN070132AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Phoenix, LLC CurrentSince Jan 10, 2017 Accepting new patients
Terros Inc Past Accepting new patients
Horizon Health and Wellness, Inc. Psychiatric/Mental Health Past Accepting new patients
Horizon Health & Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients
Horizon Health and Wellness, Inc. Past Accepting new patients

Locations

2545 W Quail Ave
Phoenix, AZ 85027
Phone (602) 455-5700

Organizations & group practices 6

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1598790230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6619 N SCOTTSDALE RD STE 9",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504421",
            "telephone_number": "480-534-8662",
            "fax_number": "480-935-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6619 N SCOTTSDALE RD STE 9",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852504421",
            "telephone_number": "480-534-8662",
            "fax_number": "480-935-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER PINSON",
        "first_name": "MARY",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN070132",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP1335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "578685",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.