Active NPI
Marcus Daniels, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 265228
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| RN212298 | AZ | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifewell Behavioral Wellness | Current | Accepting new patients | |
| Fulton & Fulton LLC | Current | Accepting new patients | |
| Wayfinder Psychiatry and Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Oakwood Creative Care Inc. | Past | Accepting new patients | |
| Arizona ZHC, LLC | Past | 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
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Gilbert, AZ
- NPI 1659136265
-
- Community Health Nurse Practitioner
- Mesa, AZ
- NPI 1790384014
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1417050337
-
- Clinic/Center
- Scottsdale, AZ
- NPI 1114707544
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1720330194
-
- Adult Day Care Clinic/Center
- Mesa, AZ
- NPI 1114388626
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.