Individual provider Active NPI

Marlene Hildegard Zeller, WHNP-BC

  • Women's Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1962018952
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
247572 Issued in AZ
Practice address
16630 S 38TH PL
Phoenix, AZ 85048-7944
Phone
(480) 710-3308
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 247572 AZ Primary

Addresses

Primary practice location

16630 S 38TH PL
Phoenix, AZ 85048-7944

Mailing address

16630 S 38TH PL
Phoenix, AZ 85048-7944
Phone (480) 710-3308

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
I20250206001539 AZ Practitioner - Nurse Practitioner 5799215745 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arizona OB GYN Affiliates PCGroup PAC ID 7911094040, 122 clinicians

Practice addresses (Care Compare)

4530 E Ray Rd
Suite 125
Phoenix, AZ 85044-6096
Phone (480) 759-9191

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona OB GYN Affiliates PC CurrentSince Mar 17, 2025 Accepting new patients

Locations

1950 W Frye Rd
Ste B
Chandler, AZ 85224

1661 E Camelback Rd
Ste 200
Phoenix, AZ 85016
Phone (602) 265-5954

4530 E Ray Rd
Ste 125
Phoenix, AZ 85044
Phone (480) 759-9191

1661 E Camelback Rd
Ste 160
Phoenix, AZ 85016
Phone (602) 241-1671

Interoperability endpoints

  • Direct secure messaging: marlene.zeller.1@14294.direct.athenahealth.com

Organizations & group practices 1

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1962018952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16630 S 38TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487944",
            "telephone_number": "480-710-3308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16630 S 38TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850487944",
            "telephone_number": "480-710-3308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "MARLENE",
        "middle_name": "HILDEGARD",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "AZ",
            "license": "247572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.