Active NPI
Marcy Rae Milbrandt, FNP-BC
- Family Nurse Practitioner
- Tucson, AZ
National Provider Identifier
1760044564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 249788
- Practice address
- 2800 E Ajo Way
Tucson, AZ 85713-6204 - Phone
- (520) 874-5600
- NPI assigned
- Jul 1, 2019
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | RN168405 | AZ | |
| Family Nurse Practitioner | 363LF0000X | 249788 | AZ | Primary |
Addresses
Primary practice location
2800 E Ajo Way
Tucson, AZ 85713-6204
Mailing address
5255 W Bobwhite Way
Tucson, AZ 85742-9371
Phone (520) 612-6414
Other practice location 1
1625 N Campbell Ave
Tucson, AZ 85719-4330
Phone (520) 694-0111
Other names 1
- Marcy Rae Leary
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | marcy.milbrandt@bannerhealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dispatchhealth-Arizona | Emergency Medicine | Current | Accepting new patients |
| Dispatchhealth-Arizona | Emergency Medicine | Current | Accepting new patients |
Locations
4602 E University Dr
Ste 150
Phoenix, AZ 85034
Phone (480) 493-3444
40 N Swan Rd
Ste 55
Tucson, AZ 85711
Phone (520) 442-2269
3827 N Lafayette St
Denver, CO 80205
Phone (303) 898-9230
Organizations & group practices 2
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
- Columbia, MD
- NPI 1811765449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651795200000",
"number": "1760044564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5255 W BOBWHITE WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857429371",
"telephone_number": "520-612-6414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 E AJO WAY",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857136204",
"telephone_number": "520-874-5600"
}
],
"practiceLocations": [
{
"address_1": "1625 N Campbell Ave",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857194330",
"country_code": "US",
"telephone_number": "520-694-0111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILBRANDT",
"first_name": "MARCY",
"middle_name": "RAE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2022-05-06",
"certification_date": "2022-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "RN168405",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "249788",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "marcy.milbrandt@bannerhealth.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1625 N Campbell Ave",
"city": "Tucson",
"state": "AZ",
"country_code": "US",
"postal_code": "857194330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "MARCY",
"last_name": "LEARY",
"middle_name": "RAE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.