MARYANNE C CLARK PMHNP
NPI 1982685954
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Q: What is Maryanne Clark's NPI number?

The NPI number for Maryanne Clark is 1982685954. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Q: What is Maryanne Clark'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 Maryanne Clark was last updated on February 19, 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.

Active since November 08, 2005PECOS Enrolled

2715 N 3RD ST, PHOENIX, AZ 85004(602) 264-4331 Get Directions Write a Review

NPPES record last updated: February 19, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Maryanne C Clark Pmhnp NPPES

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

MARYANNE C CLARK PMHNP (NPI 1982685954) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (AP11154) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982685954

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMARYANNE C CLARKCredential: PMHNP

Location Address2715 N 3RD STPhoenix, AZ 85004-1106

Mailing Address202 E Earll Dr Ste 200Phoenix, AZ 85012-2647 · (602) 865-0008

Phone(602) 264-4331

Sole ProprietorNo

Enumeration DateNovember 8, 2005

Last NPPES UpdateFebruary 19, 2019

✔ NPI 1982685954 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 · AP11154

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP11153 (AZ)

2715 N 3RD ST, Phoenix, AZ 85004

Open in Google Maps ↗

Other Identifiers 1

Medicaid376867AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryanne C Clark Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85004 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 4

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

JILLIAN YOUNG PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

2715 N 3RD ST
PHOENIX, AZ 85004

Maricopa County (602) 808-2800

MR. BRIAN THOMAS PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

2715 N 3RD ST
PHOENIX, AZ 85004

Maricopa County (602) 808-2800

DR. LILLIAN WEI CHANG PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

2715 N 3RD ST
PHOENIX, AZ 85004

Maricopa County (602) 808-2800

MR. ALVIN ELMO MERCER NP

Nurse Practitioner (Psychiatric/Mental Health)

2715 N 3RD ST
PHOENIX, AZ 85004

Maricopa County (602) 264-4331

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 Maryanne Clark's NPI number?

The NPI number for Maryanne Clark is 1982685954. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is Maryanne Clark located?

Maryanne Clark practices at 2715 N 3rd St, Phoenix, AZ 85004. The listed phone number is (602) 264-4331.

What is Maryanne Clark's specialty?

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

Is Maryanne Clark enrolled in Medicare?

Yes. Maryanne Clark is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maryanne Clark was last updated on February 19, 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.