Individual provider Active NPI

Marissa Lee Rose, FNP-C

  • Family Medicine Physician
  • Mesa, AZ
National Provider Identifier
1679069850
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP11499 Issued in AZ
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

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AP11499OtherAZAZ STATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 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
I20190328001859 AZ Practitioner - Nurse Practitioner 8426398447 Reassigns benefits to 3 organizations
I20260427001989 TX Practitioner - Nurse Practitioner 8426398447 Reassigns benefits to 1 organization

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
Good Health Medical PLLCGroup PAC ID 3779680962, 215 clinicians

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

LicenseStateTypeSpecialty
AP11499AZMDFamily Medicine Physician
1227510TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Vista Emergency Physicians, LLC Nurse Practitioner CurrentSince Jan 10, 2023 Accepting new patients
Good Health Medical, PLLC Family Medicine CurrentSince Mar 18, 2020 Accepting new patients
Emergency Physicians Southwest, PC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
Good Health Medical, PLLC Family Medicine CurrentSince Mar 18, 2020 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 PastSince Mar 23, 2026 Accepting new patients
My Dr Now Texas PLLC Family Medicine PastSince Mar 23, 2026 Accepting new patients
My Dr Now Texas PLLC Family Medicine PastSince Mar 23, 2026 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

  • Direct secure messaging: mrose18971@mydrnow.gardenplot.direct-ci.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.