Individual provider Active NPI

Natalie Marciales, PA-C

  • Physician Assistant
  • Tucson, AZ
National Provider Identifier
1720569502
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2001 W Orange Grove Rd Ste 104
Tucson, AZ 85704-1140
Phone
(480) 443-8400
Fax
(480) 443-8697
NPI assigned
Aug 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2001 W Orange Grove Rd Ste 104
Tucson, AZ 85704-1140

Mailing address

3033 W Bell Rd Ste 102B
Phoenix, AZ 85053-3000
Phone (602) 374-7813

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
I20181226001494 AZ Practitioner - Physician Assistant 1052656865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Flagstaff Family Medicine LLCGroup PAC ID 3971733296, 4 clinicians

Practice addresses (Care Compare)

1515 E Cedar Ave
Flagstaff, AZ 86004-1630
Phone (928) 774-2788

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: natalie.marciales.1@29497.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1535414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1720569502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 W BELL RD STE 102B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533000",
            "telephone_number": "602-374-7813",
            "fax_number": "480-629-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W ORANGE GROVE RD STE 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041140",
            "telephone_number": "480-443-8400",
            "fax_number": "480-443-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCIALES",
        "first_name": "NATALIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.