DR. MARCUS W FOSSMEYER DNP, PMHNP
NPI 1447773478
Nurse Practitioner - Psychiatric/Mental Health in Mesa, AZ

Q: What is Marcus Fossmeyer's NPI number?

The NPI number for Marcus Fossmeyer is 1447773478. It was assigned to this individual provider in the NPPES registry on July 21, 2017.

Q: What is Marcus Fossmeyer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Marcus Fossmeyer was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 21, 2017PECOS EnrolledAccepts Medicare Assignment

2120 W GUADALUPE RD STE 6, MESA, AZ 85202(602) 230-7373(480) 628-8577 Get Directions Write a Review

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

Record update history: Jul 10, 2026, Mar 1, 2023, Jul 21, 2022 and 3 more (6 updates tracked since 2017).

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About Dr. Marcus W Fossmeyer Dnp, Pmhnp NPPES

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

DR. MARCUS W FOSSMEYER DNP, PMHNP (NPI 1447773478) is an individual psychiatric/mental health provider in Mesa, Arizona, licensed in Arizona (AP10434) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1447773478

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. MARCUS W FOSSMEYERCredential: DNP, PMHNP

Location Address2120 W GUADALUPE RD STE 6Mesa, AZ 85202-7366

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455

Phone(602) 230-7373

Fax(480) 628-8577

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 21, 2017

Last NPPES UpdateJuly 10, 20266 updates tracked since enumeration

NPPES CertifiedJuly 10, 2026

✔ NPI 1447773478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in AZ · AP10434

Also ListedRegistered NurseTaxonomy 163W00000X · License RN175917 (AZ)

2120 W GUADALUPE RD STE 6, Mesa, AZ 85202

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Secondary Practice Location 1

Location 13330 N 2nd St Ste 601Phoenix, AZ 85012-2395 · Phone (602) 230-7373 · Fax (602) 230-5105

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.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

Dr. Marcus W Fossmeyer Dnp, Pmhnp 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 ID648543306

PECOS Enrollment IDI20170831003308

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 Reassignment

Medicare enrollment records show Marcus Fossmeyer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denova Collaborative Health, LLC

Same address

Multi-Specialty

2120 W GUADALUPE RD STE 6
Mesa, AZ 85202

Reassigned Medicare billing, Arizona enrollment
282 clinicians in this Medicare group

NPI 1124549043 (602) 230-7373

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

63 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 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 15

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

DR. JESUS PRADO DNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)