Active NPI
Marissa Lee Rose, FNP-C
- Family Medicine Physician
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AP11499
- Practice address
- 1982 W Main St Ste 101
Mesa, AZ 85201-6917 - Phone
- (480) 677-8282
- Fax
- (844) 470-2777
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AP11499 | AZ | Primary |
| Family Nurse Practitioner | 363LF0000X | 1227510 | TX |
Addresses
Primary practice location
1982 W Main St Ste 101
Mesa, AZ 85201-6917
Mailing address
261 N Roosevelt Ave
Chandler, AZ 85226-2617
Phone (480) 677-8282
Other practice location 1
2110 N. US Hwy. 77 Suite 120
Waxahachie, TX 75165
Phone (214) 444-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP11499 | Other | AZ | AZ STATE BOARD OF NURSING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11320 W Tangerine Rd
Suite 101
Marana, AZ 85653-1583
Phone (480) 677-8282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP11499 | AZ | MD | Family Medicine Physician |
| 1227510 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Vista Emergency Physicians, LLC | Nurse Practitioner | Current | Accepting new patients |
| Good Health Medical, PLLC | Family Medicine | Current | Accepting new patients |
| Emergency Physicians Southwest, PC | Nurse Practitioner | Current | Accepting new patients |
| Good Health Medical, PLLC | Family Medicine | Current | Accepting new patients |
| Livn, P.C. | Family Medicine | Past | Accepting new patients |
| Privia Medical Group Arizona, LLC | Family Medicine | Past | Accepting new patients |
| Good Health Medical, PLLC | Family Medicine | Past | Accepting new patients |
| My Dr Now Texas PLLC | Family Medicine | Past | Accepting new patients |
| My Dr Now Texas PLLC | Family Medicine | Past | Accepting new patients |
Locations
3100 N Alma School Rd
Chandler, AZ 85224
Phone (480) 255-5983
261 N Roosevelt Ave
Chandler, AZ 85226
Phone (480) 305-2888
4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100
1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
6661 W Bell Rd
Ste 106B
Glendale, AZ 85308
11320 W Tangerine Rd
Ste 101
Marana, AZ 85653
Phone (880) 677-8282
1982 W Main St
Ste 101
Mesa, AZ 85201
Phone (480) 295-4880
6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000
5750 E Baseline Rd
Mesa, AZ 85206
Phone (602) 246-5797
1035 N Ellsworth Rd
Ste 108
Mesa, AZ 85207
Phone (480) 305-2888
1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300
9221 E Baseline Rd
Ste A106
Mesa, AZ 85209
2640 W Baseline Rd
Ste 111
Phoenix, AZ 85041
Phone 4803052888 ext. 1109
287 E Hunt Hwy
Ste 105
San Tan Valley, AZ 85143
Phone (480) 667-8282
Interoperability endpoints
- mrose18971@mydrnow.gardenplot.direct-ci.com
- https://epicproxy.et4001.epichosted.com/APIProxyPRD/MDN/api/FHIR/R4
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
Nurse Practitioner
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1164642963
Nurse Practitioner
-
- Family Medicine Physician
- Waxahachie, TX
- NPI 1174482723
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1245759307
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1760441141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772150400000",
"number": "1679069850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 N ROOSEVELT AVE",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852262617",
"telephone_number": "480-677-8282",
"fax_number": "844-470-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1982 W MAIN ST STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852016917",
"telephone_number": "480-677-8282",
"fax_number": "844-470-2777"
}
],
"practiceLocations": [
{
"address_1": "2110 N. US Hwy. 77 Suite 120",
"address_purpose": "LOCATION",
"city": "Waxahachie",
"state": "TX",
"postal_code": "75165",
"country_code": "US",
"telephone_number": "214-444-0444",
"fax_number": "888-316-1686",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSE",
"first_name": "MARISSA",
"middle_name": "LEE",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-10",
"last_updated": "2026-02-27",
"certification_date": "2026-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "AP11499",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1227510",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AZ STATE BOARD OF NURSING",
"identifier": "AP11499",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; 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.