Individual provider Active NPI

Marcus Daniels, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Gilbert, AZ
National Provider Identifier
1962072363
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
265228 Issued in AZ
Practice address
1760 E Pecos Rd Ste 307
Gilbert, AZ 85295-3203
Phone
(480) 256-2648
Fax
(480) 900-8548
NPI assigned
Jun 28, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 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 Registered Nurse 163WP0808X RN212298 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 265228 AZ Primary

Addresses

Primary practice location

1760 E Pecos Rd Ste 307
Gilbert, AZ 85295-3203

Mailing address

1760 E Pecos Rd Ste 307
Gilbert, AZ 85295-3203
Phone (480) 256-2648

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
I20211209001860 AZ Practitioner - Nurse Practitioner 1254721012 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wayfinder Psychiatry and Wellness LLCGroup PAC ID 9335586494, 5 clinicians

Practice addresses (Care Compare)

1760 E Pecos Rd
Suite 231
Gilbert, AZ 85295-3207
Phone (480) 256-2648

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN212298AZMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Lifewell Behavioral Wellness CurrentSince Dec 2, 2021 Accepting new patients
Fulton & Fulton LLC CurrentSince Apr 1, 2023 Accepting new patients
Wayfinder Psychiatry and Wellness LLC Psychiatric/Mental Health CurrentSince Feb 14, 2024 Accepting new patients
Oakwood Creative Care Inc. PastSince Mar 12, 2024 Accepting new patients
Arizona ZHC, LLC PastSince Oct 8, 2023 Accepting new patients
Lifewell Behavioral Wellness Past Accepting new patients

Locations

1760 E Pecos Rd
Ste 231
Gilbert, AZ 85295
Phone (480) 256-2648

4100 S Lindsay Rd
Ste 124
Gilbert, AZ 85297
Phone (480) 256-2648

1760 E Pecos Rd
Ste 307
Gilbert, AZ 85295
Phone (480) 256-2648

6915 E Main St
Ste 200
Mesa, AZ 85207

560 W Brown Rd
Mesa, AZ 85201
Phone (317) 496-7696

3707 E Southern Ave
Mesa, AZ 85206
Phone (480) 327-9103

262 E University Dr
Mesa, AZ 85201
Phone 60280828005539

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

Interoperability endpoints

  • Direct secure messaging: marcus.danielsrn.p1@direct.lifewell.nextgenshare.com

Organizations & group practices 6

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1962072363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 E PECOS RD STE 307",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953203",
            "telephone_number": "480-256-2648",
            "fax_number": "480-900-8548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 E PECOS RD STE 307",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953203",
            "telephone_number": "480-256-2648",
            "fax_number": "480-900-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "MARCUS",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-28",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN212298",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "265228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.