Individual provider Active NPI

Marissa McCline, FNP-BC

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1871177790
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
257006 Issued in AZ
Practice address
14891 W Gentle Breeze Way
Surprise, AZ 85374-8633
Phone
(480) 622-3612
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 257006 AZ Primary

Addresses

Primary practice location

14891 W Gentle Breeze Way
Surprise, AZ 85374-8633

Mailing address

14891 W Gentle Breeze Way
Surprise, AZ 85374-8633

Other names 1

  • Marissa Denney Former name

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
Green means eligible to order or refer.

National Provider Directory

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

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1871177790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14891 W GENTLE BREEZE WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14891 W GENTLE BREEZE WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853748633",
            "telephone_number": "480-622-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLINE",
        "first_name": "MARISSA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "257006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "DENNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.