Individual provider Active NPI

Marie Grace De Leon, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tempe, AZ
National Provider Identifier
1942990593
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
291059 Issued in AZ
Practice address
1500 N Priest Dr # 109
Tempe, AZ 85288-1213
Phone
(702) 589-4871
NPI assigned
May 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 291059 AZ Primary

Addresses

Primary practice location

1500 N Priest Dr # 109
Tempe, AZ 85288-1213

Mailing address

14894 W Valentine St
Surprise, AZ 85379-4277
Phone (408) 594-8495

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
I20230520000044 AZ Practitioner - Nurse Practitioner 0042676801 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Health Group Providers LLCGroup PAC ID 9335430693, 24 clinicians

Practice addresses (Care Compare)

1500 N Priest Dr
Suite 109
Tempe, AZ 85288-1213
Phone (602) 734-5664

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
71.1
Promoting interoperability
68
Improvement activities
40
Cost
69.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291059AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Health Group Providers, LLC Multi-Specialty CurrentSince Apr 1, 2023 Accepting new patients
Behavioral Health Solutions of Arizona PLLC PastSince May 14, 2023 Accepting new patients

Locations

1500 N Priest Dr
#109
Tempe, AZ 85288
Phone (480) 590-0612

1500 N Priest Dr
Ste 109
Tempe, AZ 85288

Interoperability endpoints

  • Direct secure messaging: marie.grace.de.leon.1@24259.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1942990593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14894 W VALENTINE ST",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853794277",
            "telephone_number": "408-594-8495",
            "fax_number": "702-589-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 N PRIEST DR # 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852881213",
            "telephone_number": "702-589-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LEON",
        "first_name": "MARIE GRACE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "291059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.