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MARISOL MORENO LEON PMHNP-BC
NPI 1629637095
Nurse Practitioner - Psychiatric/Mental Health in Laveen, AZ

Active since June 10, 2019PECOS Enrolled
5317 W PECAN RD, LAVEEN, AZ 85339(602) 577-2086 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marisol Moreno Leon Pmhnp-bc NPPES

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

MARISOL MORENO LEON PMHNP-BC (NPI 1629637095) is an individual psychiatric/mental health provider in Laveen, Arizona, licensed in Arizona (227283) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629637095
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMARISOL MORENO LEONCredential: PMHNP-BC
Location Address5317 W PECAN RDLaveen, AZ 85339-2457
Mailing Address5317 W Pecan RdLaveen, AZ 85339-2457 · (602) 577-2086
Phone(602) 577-2086
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJune 10, 2019
✔ NPI 1629637095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 227283
5317 W PECAN RD, Laveen, AZ 85339
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisol Moreno Leon Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729498258
PECOS Enrollment IDI20210706001264
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 Marisol Moreno Leon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Behavioral Health
5.7 mi
Community Based Residential Treatment Facility, Mental Illness
2042 N 35TH AVE
Phoenix, AZ 85009
  • Reassigned Medicare billing, Arizona enrollment
  • Medicare enrollment name: Southwest Behavioral Health Services Inc
  • 137 clinicians in this Medicare group
NPI 1376550343 (602) 272-5250

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 85339 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.

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 Marisol Moreno Leon's NPI number?

The NPI number for Marisol Moreno Leon is 1629637095. It was assigned to this individual provider in the NPPES registry on June 10, 2019.

Where is Marisol Moreno Leon located?

Marisol Moreno Leon practices at 5317 W Pecan Rd, Laveen, AZ 85339. The listed phone number is (602) 577-2086.

What is Marisol Moreno Leon's specialty?

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

Is Marisol Moreno Leon enrolled in Medicare?

Yes. Marisol Moreno Leon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marisol Moreno Leon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marisol Moreno Leon reassigns Medicare benefits to Southwest Behavioral Health (Phoenix, AZ). The 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 Marisol Moreno Leon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marisol Moreno Leon accept?

Health plans from Blue Cross Blue Shield of Arizona list Marisol Moreno Leon 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 Marisol Moreno Leon was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.