Individual provider Active NPI

Kevin James Marston, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Scottsdale, AZ
National Provider Identifier
1720688443
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
249498 Issued in AZ
Practice address
6602 E Phelps Rd
Scottsdale, AZ 85254-5659
Phone
(207) 831-2002
NPI assigned
Oct 30, 2020
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 249498 AZ
Acute Care Nurse Practitioner 363LA2100X 249498 AZ Primary

Addresses

Primary practice location

6602 E Phelps Rd
Scottsdale, AZ 85254-5659

Mailing address

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395-2626
Phone (207) 831-2002

Other identifiers 1

IdentifierTypeStateIssuer
1720688443MedicaidAZ

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
I20210210000602 AZ Practitioner - Nurse Practitioner 2264847953 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zion Specialty PLLCGroup PAC ID 4880074640, 12 clinicians
Unomed LLCGroup PAC ID 7416261086, 12 clinicians

Practice addresses (Care Compare)

1100 E Monroe St
Globe, AZ 85501-1363
Phone (928) 425-5721

9200 N Central Ave
Suite 2
Phoenix, AZ 85020-2463
Phone (480) 999-4954

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249498AZMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Medicine LLC CurrentSince Mar 1, 2023 Accepting new patients
Integrated Healthcare Mobile Solutions, LLC Nurse Practitioner CurrentSince Aug 1, 2021 Accepting new patients
Phoenix Area Cardiology and Electrophysiology LLC CurrentSince Apr 15, 2023 Accepting new patients
Leading Health Managed Care, LLC CurrentSince Jan 1, 2022 Accepting new patients
American Family Medicine LLC CurrentSince Mar 1, 2023 Accepting new patients
Leading Healthcare Specialist PLLC Acute Care CurrentSince Jan 1, 2022 Accepting new patients
Leading Healthcare Clinic of Goodyear LLC CurrentSince Sep 13, 2022 Accepting new patients
Emergency Physicians Southwest, PC Nurse Practitioner CurrentSince Mar 22, 2021 Accepting new patients
Unomed LLC CurrentSince Sep 15, 2022 Accepting new patients
Signify Health, LLC Nurse Practitioner PastSince Sep 15, 2022 Accepting new patients

Locations

3800 W Ray Rd
Ste 5
Chandler, AZ 85226
Phone (480) 718-5400

1100 N Broad St
Ste D
Globe, AZ 85501
Phone (602) 989-0725

13555 W McDowell Rd
Ste 205
Goodyear, AZ 85395
Phone (623) 535-0740

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

1514 W Thomas Rd
Phoenix, AZ 85015
Phone (602) 264-2528

16601 N 40th St
Ste 220
Phoenix, AZ 85032
Phone (602) 979-0725

6502 N 35th Ave
Phoenix, AZ 85017
Phone (215) 756-2721

9200 N Central Ave
Ste 2
Phoenix, AZ 85020
Phone (480) 999-4954

1840 E Baseline Rd
Ste A1
Tempe, AZ 85283
Phone (480) 718-5400

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHHAD

Organizations & group practices 11

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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1720688443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13555 W MCDOWELL RD",
            "address_2": "STE 205",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853952626",
            "telephone_number": "207-831-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 E PHELPS RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852545659",
            "telephone_number": "207-831-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTON",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-30",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "249498",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AZ",
            "license": "249498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720688443",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.