MARIE V KHATINHA FNP- BC
NPI 1063018976
Nurse Practitioner - Family in Mesa, AZ

Active since December 07, 2020PECOS EnrolledAccepts Medicare Assignment
1705 W MAIN ST, MESA, AZ 85201(480) 964-2273(480) 718-9477 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 10, 2026, Dec 8, 2022, Aug 23, 2022 and 1 more (4 updates tracked since 2020).

About Marie V Khatinha Fnp- Bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARIE V KHATINHA FNP- BC (NPI 1063018976) is an individual family provider in Mesa, Arizona, licensed in Arizona (247214) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063018976
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIE V KHATINHACredential: FNP- BC
Location Address1705 W MAIN STMesa, AZ 85201-6920
Mailing Address3033 N Central Ave Ste 145Phoenix, AZ 85012-2808 · (623) 583-3001 · Fax (623) 974-6721
Fax(480) 718-9477
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 7, 2020
Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1063018976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 247214
1705 W MAIN ST, Mesa, AZ 85201

Other Identifiers 1

Medicaid086577AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marie V Khatinha Fnp- Bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648685545
PECOS Enrollment IDI20210225002895
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Marie Khatinha reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1705 W MAIN ST
Mesa, AZ 85201
  • Reassigned Medicare billing, Arizona enrollment
  • 234 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
655 S DOBSON RD STE 201
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 80 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
1705 W MAIN ST
MESA, AZ 85201
Family Medicine
1705 W MAIN ST
MESA, AZ 85201
Internal Medicine
1705 W MAIN ST
MESA, AZ 85201
Nurse Practitioner (Family)
1705 W MAIN ST
MESA, AZ 85201
Internal Medicine (Geriatric Medicine)
1705 W MAIN ST
MESA, AZ 85201
Social Worker
1705 W MAIN ST
MESA, AZ 85201
Nurse Practitioner (Women's Health)
1705 W MAIN ST
MESA, AZ 85201
Internal Medicine
1705 W MAIN ST
MESA, AZ 85201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marie Khatinha's NPI number?

The NPI number for Marie Khatinha is 1063018976. It was assigned to this individual provider in the NPPES registry on December 7, 2020.

Where is Marie Khatinha located?

Marie Khatinha practices at 1705 W Main St, Mesa, AZ 85201. The listed phone number is (480) 964-2273.

What is Marie Khatinha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Marie Khatinha enrolled in Medicare?

Yes. Marie Khatinha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Marie Khatinha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Khatinha reassigns Medicare benefits to 2 organizations: Adelante Healthcare, Inc. (Mesa, AZ) and Sun Life Family Health Center, Inc (Chandler, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marie Khatinha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie Khatinha accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Marie Khatinha as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marie Khatinha was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.