Individual provider Active NPI

Anna-Karina Marco, FNP

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1992316566
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
244612 Issued in AZ
Practice address
3690 S Park Ave Ste 805
Tucson, AZ 85713-5042
Phone
(520) 616-6760
NPI assigned
Aug 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2020

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 244612 AZ Primary

Addresses

Primary practice location

3690 S Park Ave Ste 805
Tucson, AZ 85713-5042

Mailing address

PO Box 188
Marana, AZ 85653-0188
Phone (520) 682-4111

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
I20210709002424 AZ Practitioner - Nurse Practitioner 6103246160 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

Practice addresses (Care Compare)

1460 W Valencia Rd
Tucson, AZ 85746-6001
Phone (520) 573-0966

5830 N 19TH Ave
Phoenix, AZ 85015-2494
Phone (602) 336-1966

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Jun 15, 2021 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jun 15, 2021 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

17218 N 72nd Dr
Ste 100
Glendale, AZ 85308
Phone (623) 334-8670

695 S Pecan Tree Ln
Green Valley, AZ 85614
Phone (520) 625-8116

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

1460 W Valencia Rd
Tucson, AZ 85746
Phone (520) 573-0966

Interoperability endpoints

  • Direct secure messaging: amarco114058@westdirect.optum.com

Organizations & group practices 3

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": "1597536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1992316566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "MARANA",
            "state": "AZ",
            "postal_code": "856530188",
            "telephone_number": "520-682-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 S PARK AVE STE 805",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857135042",
            "telephone_number": "520-616-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCO",
        "first_name": "ANNA-KARINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "244612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.