Individual provider Active NPI

Mary L Murrietta, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1770662371
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP10554 Issued in AZ
Practice address
2802 E District St
Tucson, AZ 85714-2081
Phone
(520) 301-2400
NPI assigned
Nov 3, 2006
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP10554 AZ Primary
Registered Nurse 163W00000X 123214 AZ

Addresses

Primary practice location

2802 E District St
Tucson, AZ 85714-2081

Mailing address

2802 E District St
Tucson, AZ 85714-2081
Phone (520) 301-2400

Other identifiers 1

IdentifierTypeStateIssuer
14113039OtherAZCAQH

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
I20171110001463 AZ Practitioner - Nurse Practitioner 7214293000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associated Internists of Tucson PLLCGroup PAC ID 1759349988, 7 clinicians
Connections Southernaz, LLCGroup PAC ID 2769874197, 25 clinicians

Practice addresses (Care Compare)

2221 N Rosemont Blvd
Tucson, AZ 85712-2113
Phone (520) 881-2323

2802 E District St
FL 2
Tucson, AZ 85714-2081
Phone (520) 301-2400

603 N Wilmot Rd
Suite 201
Tucson, AZ 85711-2701
Phone (520) 729-1311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123214AZMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Internists of Tucson, PLLC CurrentSince Feb 1, 2025 Accepting new patients
Connections Southernaz, LLC CurrentSince Jul 11, 2023 Accepting new patients
Connections Southernaz, LLC Current Accepting new patients
Arizona Total Care LLC PastSince Jun 23, 2025 Accepting new patients
U2Rworthit1 LLC PastSince Oct 21, 2025 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

2221 N Rosemont Blvd
Tucson, AZ 85712
Phone (520) 881-2323

2802 E District St
Tucson, AZ 85714
Phone (520) 622-6000

2802 E District St
Fl 1
Tucson, AZ 85714
Phone (602) 253-5100

2802 E District St
Fl 2
Tucson, AZ 85714
Phone (602) 253-5100

603 N Wilmot Rd
Ste 201
Tucson, AZ 85711
Phone (520) 729-1311

Interoperability endpoints

  • Direct secure messaging: mary.murrietta@mmconnections.contexture.medalliesmail.com

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1770662371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 E DISTRICT ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142081",
            "telephone_number": "520-301-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 E DISTRICT ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857142081",
            "telephone_number": "520-301-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRIETTA",
        "first_name": "MARY",
        "middle_name": "L",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-09-12",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP10554",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "123214",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14113039",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.