Marissa Marzella, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

307586 Issued in AZ

Practice address

8306 N 8TH St
Phoenix, AZ 85020-3444

Phone

(480) 208-4409

NPI assigned

Aug 29, 2023

Last updated

Dec 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Peoria Urgent Care and Walk in Clinic PLLC

  • Urgent Care Clinic/Center
  • Peoria, AZ
  • NPI 1093439762
  Medicare reassignment NPD
• Maricopa Physicians PLLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1124599816
  Medicare reassignment

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1811772874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8306 N 8TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203444",
            "telephone_number": "480-208-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8306 N 8TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850203444",
            "telephone_number": "480-208-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARZELLA",
        "first_name": "MARISSA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "307586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryvale Pediatric Clinic (MVP Kids Care)
• Maryvale Pharmacy Inc (M D Pharmacy)
• Maryvale Surgery Center, LLC
• Nicole Ann Marzan, AU.D.
• David Francis Marzano
• Anissa Marzuki, PHARM.D.
• Kaitlyn Masai, PH.D.
• Kasey Masaitis
• Muttaa Masalkhi, M.D.
• Jeremy Mascarenas, P.T.

• Family Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Family Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; 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.

Verify at the official NPI Registry.