MRS. MARISA VALANDRA (PMHNP) – Family Nurse Practitioner, NPI 1902051071

MRS. MARISA VALANDRA (PMHNP) is a healthcare provider. based in Phoenix, Arizona. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. AP3088 (AZ). The NPI Number for MRS. MARISA VALANDRA (PMHNP) is 1902051071

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARISA VALANDRA (PMHNP)
NPI
1902051071
Phone
(602) 230-7373
Address
3033 N Central Ave Ste 700
Enumeration Date
17 November 2008
Last Update Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6022307373
Graduation Year
2008 (18 years ago)
PAC ID
8527129790
Group Practice PAC ID
2466437736
Professional Enrollment ID
I20081230000109
Address ID
AZ850426536PH610XXRDXX402
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:17State licenses:2Digital endpointsOther names

7,509 NURSE PRACTITIONER in AZ

Provider Addresses for MRS. MARISA VALANDRA (PMHNP)

  • 3033 N Central Ave Ste 700

    Phoenix, AZ 850122806

    Phone: (602) 230-7373

    Fax: (602) 257-8029

    Type: Location

  • 610 E Baseline Rd Ste 5

    Phoenix, AZ 850426536

    Phone: (602) 230-7373

    Fax: (602) 441-5836

    Type: Location

  • East Adobe Road, Mesa, Maricopa County, Arizona, 85208, United States

    MESA, AZ 852073150

    Phone: (602) 326-4786

    Type: Mailing

  • Bren Road East, Minnetonka, Hennepin County, Minnesota, 55343, United States

    MINNETONKA, MN 553439664

    Phone: (877) 389-2727

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $74.

Total Amount is formed as General ($74) + Research ($0) + Ownership ($0) = $74.

Last reported payment date: 2024-09-18 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($52).

Total Amount

$74

General + Research + Ownership

Payments

3

Total payment records

General Amount

$74

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081230000109INurse PractitionerAZTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 85012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2466437736View full group profile
NameSpecialtyState
Mental Health CounselorAZ
Mental Health CounselorAZ
-AZ
Nurse PractitionerAZ
-AZ
Mental Health CounselorAZ
Nurse PractitionerAZ
Nurse PractitionerAZ
Physician AssistantAZ
Physician AssistantAZ

Reviews

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Frequently asked questions

What NPI should I save for MRS. MARISA VALANDRA (PMHNP)?
Save NPI 1902051071 if you need a stable reference for MRS. MARISA VALANDRA (PMHNP).
Is MRS. MARISA VALANDRA (PMHNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. MARISA VALANDRA (PMHNP)?
The page reflects Family Nurse Practitioner for MRS. MARISA VALANDRA (PMHNP). Clinical services aligned with this taxonomy classification.
Does MRS. MARISA VALANDRA (PMHNP) practice in Arizona?
You will see Phoenix, Arizona on file for MRS. MARISA VALANDRA (PMHNP) alongside any extra practice locations.
Is MRS. MARISA VALANDRA (PMHNP) a real provider?
This page reflects official NPPES data for NPI 1902051071. Always confirm identity and privileges with the practice and licensing boards.

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