Individual provider Active NPI

Roanne Marie Parker, NP-C

  • Adult Health Nurse Practitioner
  • Mesa, AZ
National Provider Identifier
1720274863
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP2868 Issued in AZ
Practice address
7233 E Baseline Rd Ste 126
Mesa, AZ 85209-5007
Phone
(480) 699-2222
Fax
(480) 699-3033
NPI assigned
Sep 21, 2007
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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 AP2868 AZ
Adult Health Nurse Practitioner 363LA2200X AP2868 AZ Primary

Addresses

Primary practice location

7233 E Baseline Rd Ste 126
Mesa, AZ 85209-5007

Mailing address

7233 E Baseline Rd Ste 126
Mesa, AZ 85209-5007
Phone (480) 699-2222

Other identifiers 1

IdentifierTypeStateIssuer
301197MedicaidAZ

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
I20080808000203 AZ Practitioner - Nurse Practitioner 9931273950 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP2868AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Medical Group Arizona LLC Family Medicine CurrentSince Jul 3, 2021 Accepting new patients
Allied Medical Associates PLC CurrentSince Apr 1, 2025 Accepting new patients
Allied Internal Medicine PLLC CurrentSince Mar 1, 2025 Accepting new patients
Family First Physicians PLLC Family Medicine CurrentSince Aug 11, 2025 Accepting new patients
4C Medical Group PLC Family Medicine Past Accepting new patients

Locations

2012 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 938-0700

1760 E Pecos Rd
Ste 102
Gilbert, AZ 85295
Phone (480) 690-8412

14541 W Indian School Rd
#600
Goodyear, AZ 85395
Phone (623) 535-5599

215 S Power Rd
Mesa, AZ 85206
Phone (480) 945-7711

2345 E Southern Ave
#101
Mesa, AZ 85204
Phone (480) 893-2345

2345 E Southern Ave
Ste 101
Mesa, AZ 85204
Phone (480) 893-2345

7233 E Baseline Rd
Ste 126
Mesa, AZ 85209
Phone (480) 699-2222

7525 E Broadway Rd
Ste 9
Mesa, AZ 85208
Phone (480) 835-0660

908 S Power Rd
Mesa, AZ 85206
Phone (480) 741-8041

Interoperability endpoints

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1720274863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7233 E BASELINE RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095007",
            "telephone_number": "480-699-2222",
            "fax_number": "480-699-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 E BASELINE RD STE 126",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852095007",
            "telephone_number": "480-699-2222",
            "fax_number": "480-699-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "ROANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AP2868",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP2868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301197",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.